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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.
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.
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.
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.
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