2. Answer boxes below may contain unlimited characters
4. 1. Department Name
6. 2. Why do you interact with the community? (are there specific reasons, initiatives, topics, issues, statutes) – Please select all that apply.

   1. a. It’s required by our mission or charter
   2. b. We’ve been directed by the City Council
   3. c. In order to gather data about the community
   4. d. To inform community members of topics or issues
   5. e. To build relationships with community members
   6. f. Other: Please specify
8. Other
10. 3. How would your department define community engagement as it relates to the work you do?
12. 4. What engagement strategies does your department use? (i.e. events, social media, workshops, open houses, mailings, etc)
14. 5. What is the demographic profile of the groups you typically engage? (i.e. age, race, gender, education, etc)
16. 6. What is the demographic profile of groups you wish to engage? (i.e. age, race, gender, education, etc)
18. 7. Please describe an engagement initiative that went as planned. Describe the initiative(s), who participated, what were the goals or preferred outcomes of the engagement effort?
20. 8. Please describe an engagement initiative that DID NOT go as planned. Describe the initiative(s). Who participated and who was your intended audience? What were the goals or preferred outcomes of the engagement effort? Why do you feel you didn’t meet the intended goals or outcomes?
22. 9. Are there specific areas where you would like guidance to improve future outreach and engagement efforts?
24. 10. Are there community engagement best practices or resources that you would like to make sure the HRIEC is aware of?
26. 11. Are there new initiatives that you think should be considered by the City?
28. 12. The HRIEC plans to develop a strategy for building relationships with community members from a variety of backgrounds. Are there community leaders or active members we should include in our contact list? Please provide their name(s), contact information, and how they were involved.
30. Attachments
    If you would like to upload a PDF document with additional information regarding your department's community engagement efforts please browse and attach here.
32. Thank you!
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34. 1. Receive an email copy of this form.
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