Neighborhood Groups QuestionairrePlease print and mail this form to Fairfax Volunteers, 142 Bolinas Road, Fairfax, CA 94930 or drop off the form at the Town Hall. Neighborhood Group activities will be ongoing and new participants are always welcome! Fill out as much of the following information as you feel comfortable providing. We respect your privacy and so your responses will only be used for the Fairfax Volunteers database. When reporting on the Neighborhood Groups project, we will make public only combined statistics. 1. Choose Your Neighborhood(s):
Description of Other:
2. Check what you feel are the most relevant issues for your neighborhood and circle the most significant issue for you personally:
Describe any other issues in your neighborhood (use the back of this form if needed):
3. Who do you think would be a good contact person for your neighborhood?
4. Would you like to be notified about upcoming meetings, events, and issues? Bearing in mind that postage paid mailings are expensive and less timely than other forms of communication, also let us know how would you prefer to receive Neighborhood Group information:
5. We hope you’ll participate in creating a Neighborhood Group, but if you are not ready to be involved, may we contact you with information about our Legacy Projects?
6. Indicate which of our Legacy Projects you would consider helping with:
7. Name/Others in your Household:
8. Phone Number(s):
9. Address:
10. Email:
Please print and mail this form to Fairfax Volunteers, 142 Bolinas Road, Fairfax, CA 94930 or drop off the form at the Town Hall. Neighborhood Group activities will be ongoing and new participants are always welcome! |