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Great Neighborhoods Partnership Registration Form

2. Instructions
   Complete this form and upload required supplemental information to register a neighborhood for participation in the Great Neighborhood Partnership. Be sure the organization meets the eligibility criteria for participation prior to completing this form. Eligibility information is available on the Great Neighborhoods webpage: https://www.bentonvillear.com/1048/Great-Neighborhoods-Partnership on the "Neighborhood Partners" tab.

   Complete this form and upload required supplemental information to register a neighborhood for participation in the Great Neighborhood Partnership. Be sure the organization meets the eligibility criteria for participation prior to completing this form. Eligibility information is available on the Great Neighborhoods webpage: https://www.bentonvillear.com/1048/Great-Neighborhoods-Partnership on the "Neighborhood Partners" tab.

4. ORGANIZATION INFORMATION

6. Name of the organization*

7. Type of organization*

   (choose one)

   1. Newly forming neighborhood association
   2. Existing neighborhood association
   3. Property owner's association (POA)
   4. Home owner's association (HOA)
9. Geographic Boundaries
   Newly forming neighborhood associations should speak with staff to determine the most appropriate boundaries (neighborhoods@bentonvillear.com). If a specific boundary is difficult to identify, please attach a map of the boundaries.

   Newly forming neighborhood associations should speak with staff to determine the most appropriate boundaries (neighborhoods@bentonvillear.com). If a specific boundary is difficult to identify, please attach a map of the boundaries.

11. North Boundary

12. South Boundary

14. East Boundary

15. West Boundary

17. Neighborhood Map

    If the specific north/south/east/west boundaries are difficult to identify, please attach a map identifying the neighborhood boundaries.

19. Means of communication with members:

    Check all that apply.

    1. Email
    2. Facebook Group
    3. Webpage
    4. Nextdoor
    5. Newsletters

    1. Fliers/Mailers
    2. Group Text
    3. Word of mouth
    4. Other
20. Number of households within boundaries*

21. Year organization formed:*

23. Organization's website address:

    (if applicable)

24. Organization's Facebook page:

    (if applicable)

28. LEADERSHIP INFORMATION

30. Primary Contact Information

32. Primary Contact Name*

33. Email Address*

35. Title (in organization)

    (if applicable)

36. Phone Number*

38. Address*

40. City

41. State

42. Zip Code*

44. Secondary Contact Information

46. Secondary Contact Name*

47. Email Address*

49. Title (in organization)

    (if applicable)

50. Phone Number*

52. Address*

54. City

55. State

56. Zip Code*

58. SUPPORTING INFORMATION

60. Meeting Requirement
    Both newly forming (Activating Level) and existing organizations (Active Level) must have met at least twice in the last year to register as a Great Neighborhood Partner. Please provide meeting details below.

    Both newly forming (Activating Level) and existing organizations (Active Level) must have met at least twice in the last year to register as a Great Neighborhood Partner. Please provide meeting details below.

62. Date of most recent meeting*
    Date of most recent meeting

63. Number of people attending this meeting*

64. Upload notes or minutes from this meeting*

66. Date of another meeting held in the last year*
    Date of another meeting held in the last year

67. Number of people attending this meeting*

68. Upload notes or minutes from this meeting*

70. * Existing organizations only (Active Level) *
    The following items are required only for existing neighborhood associations, POA's or HOA's wishing to register at the Active Level. To register at the Active Level, the organization must have a board of directors, bylaws and held at least one neighborhood event in the last year.

    The following items are required only for existing neighborhood associations, POA's or HOA's wishing to register at the Active Level. To register at the Active Level, the organization must have a board of directors, bylaws and held at least one neighborhood event in the last year.

72. Board of directors

    Upload a list of the names, titles and email addresses of the board of directors.

73. Bylaws

    Upload a copy of the organization's bylaws.

75. Neighborhood Event

    Upload documentation of a neighborhood event held in the last year. Acceptable documents are fliers, a Facebook post, newsletter ad, email notification, or dated photos.

Leave This Blank:


77. 1. Receive an email copy of this form.
78. Email address

    This field is not part of the form submission.

79. Submit

* indicates a required field