Community Engagement Request Form

Please take a moment to answer a few questions to share the issue(s) in your community and/or surrounding areas. VEA is committed to addressing the needs in the community as well as collaborating and building partnerships with community organizations.

Name Name * First Last
Email Address *
Local Association *
Role in Association *
Worksite
What are the issues, concerns, and/or needs of the students, parents, teacher/educator that should be addressed in the community and/or surrounding areas? (Please be specific.)
Why are you interested in planning community engagement activities? *
Are you a member of any community organizations in the community and/or surrounding areas? *

Are you a member of any community organizations in the community and/or surrounding areas? Yes No
If Yes, please list the organizations.
Are you aware of any community organizations, civic organizations, and/or religious groups that volunteer at your school/worksite? If yes, please list them.
Who do you believe has the power to address the needs listed above.
What are your desired outcomes?
Thank you for your participation!

Community Engagement Request Form

Community Engagement Request Form

Thank you for your participation!