Neighborhood Group Enrollment Form

Please complete this form to enroll your neighborhood group into the Partnership Phase of Adams County’s Resilient Neighborhoods program. This phase is for established groups with regular participation, defined goals, and organized activities. Your responses will ensure we have accurate information about your group, so we can connect you with valuable resources and facilitate collaboration with Adams County departments.

Main Contact Full Name

Main Contact Email Address

Main Contact Phone Number

Name of Neighborhood Group

Secondary Contact Full Name

Each neighborhood group should have at least 2 leaders to ensure sustainability and consistency.

Secondary Contact Email Address

Secondary Contact Phone Number

What are the general boundaries of your neighborhood group?

This can include cross streets, landmarks, or names of subdivisions.

Zip Code(s)

List the zip codes that represent your neighborhood area.

What is the approximate number of households included in your neighborhood group area?

A household is defined as any individual or group of individuals who reside at the same address and share living arrangements, resources, and responsibilities.

How frequently does your group host meetings?

i.e. monthly, quarterly, as needed, etc.

When is your next meeting date?

What are your neighborhood group's general goals and priorities?

Does your neighborhood group have a website or Facebook page with information about your activities?

Yes

We are working on developing this

Do you consent to your contact information and neighborhood group information being shared with residents in your area who are interested in joining?

Yes

I want more information about this option

Do you have any other information you'd like to share or questions for our team?

Thank you for completing this form! The SPARC team will reach out to you within three business days. If you have additional questions, please email the SPARC team at: sparc@adcogov.org

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