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THE CARLTON STREETCAR FIELD TRIP COMMUNITY OUTREACH SURVEY

Name of Organization:_____________________________________________
Position of Interviewee: ___________________________
1. Describe the services/programs offered by your organization:
_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________

2. Does your organization have a mission statement? (They may have this information in a pamphlet,
in which case see if you can obtain a copy).
_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________

3. Does your organization receive funding from private or government agencies? If so, which ones?
_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
________________________________________________________________________________

4. Does your organization use volunteer support? How many volunteers work with your organization?
_________________________________________________________________________________
_________________________________________________________________________________
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5. How would you describe the ethnocultural background of the people in the community who most
frequently use/attend your organization?

6. What needs does your organization currently have in order to maintain the services/programs you
provide?
_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
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