1) What is the population of your community?            

2) What is the nearest community with a population 
   of 100,000 or more?                                  

3) List and prioritize the top five social problems in  your community.



4) Please list the social programs going on in your 
   area - the best list you can come up with.



5) The names, addresses and phone numbers of ten people who 
   care about kids, crime and other social problems in your 
   community and who might get involved.



6) The five most influential people - ones you believe we
   must have onboard to succeed in your community.



7) Five main problems you see in implementing the Foundation proposal.



8) Provide names, addresses, phone numbers, fax numbers
   and email if available for: 

      a) 3 local politicans

	  

      b) 3 of the community's largest employers

	  

	  c) 5 religious leaders

	  

	  d) 5 active non-profit directors

	  

	  e) all high-school and middle-school principals

	  

9) Send, by regular mail, the signatures of ten members of the
community whom you have presuaded to join in your efforts. 

10) 
Your name:  Phone:   
Email:     
Address:    City: 
State:      Zip Code: