CHATHAM-KENT ORGANIZATION REGISTRY
www.unitedway.chatham-kent.on.ca
 
Many communities today are burdened by shrinking resources and increased demand for service. To meet the challenges successfully, the three sectors of the community - business, government and voluntary - are learning to work together. The entire community benefits when these three sectors share knowledge and experience and collaborate on activities designed to achieve a common vision.

As a means of assisting our community to develop innovative ways of responding, our United Way - through its Nurture the Future Project - has assumed a leadership role in community building. This process focuses on what we already have in our community, rather than on what is missing. There are numerous initiatives involved with the Nurture the Future Project. These include the establishment of a Chatham-Kent Funders Alliance and a Chatham-Kent Community Resource Centre and Volunteer Bureau which would offer such services as Leadership Development and Grant Writing.

This survey has been designed to gather information about the wealth of resources that exist within our local organizations - resources that can be shared with others. The survey also asks your organization to identify potential requirements - requirements that may be met through communication with others.

The survey is in three parts and will take approximately fifteen (15) minutes to complete. The knowledge about what is available - and who can help - will place us all in a better position to develop strategies for building a stronger, safer, more caring Chatham-Kent.

We expect to use the information gathered from this survey primarily to match resources to identified needs. We know that the more we learn about our community, the more we can make positive differences in our lives. By completing this survey, you are becoming a partner in our journey of exploration and in making our community a better place to live.

If we see a potential match in the community, we will contact you to inform you of that opportunity.

Thank you for your participation.
 
PDF
 
 

PART A: CONTACT INFORMATION

Organization Name: 
Mailing Address (or P.O. Box): 
Physical Location: 
City, Town or Municipality: 
Province: 
Postal Code: 
Telephone: 
Fax Number: 
Contact Name: 
Title: 
Email: 
Secondary Contact Name: 
Title: 
Email: 
Website: 
Registered Charity?  Yes  No
Charitable Number: 
Incorporated?  Yes  No
Date of Incorporation: (yyyy-mm-dd) 
Geographic Area Served: 
Name of Provincial Affiliate (if applicable): 
Name of National Affiliate (if applicable): 
 

Mission / Mandate
 
 
 
 
Please choose the box(es) that best fit your mission / mandate:
 Arts & Culture Recreation Economic Development
 Tourism Crime Prevention & Safety Environment
 Social Services Heritage Communication
 Health Transportation Community Events
 Volunteers Housing Education
 Faith Fundraising Community Building
 FunderOther: 
 
 
 
 

PART B: RESOURCES

1.
a. How many people are part of your organization?
Staff: Volunteers: Members / Contributors: 
Clients: Board Members: 
 
b. What is the estimated number of volunteer hours in the last calendar year?
 
 
 
 
2.
a. How often do your members gather?
 
 
b. Where does your group meet?
 
 
c. What day of the week and time do you meet?
 
 
 
 
3.
a. Does your group receive funding?
 Yes  No
 
b. If yes, what types of funding do you receive? (Check all that apply.)
 Federal Corporate Fundraising
 Provincial Private Foundations Municipal
 United Way
 
c. Does your group require funding?
 Yes  No
 
d. Does your group provide funding?
 Yes  No
 
 
 
4.
a. What equipment does your organization have access to?
 
b. Would you be willing to share any of this equipment with other groups?
Office:
 Adding Machine Share?
 Computer - Desktop Share?
 Computer - Laptop Share?
 Flip Chart Share?
 Meeting Space Share?
 Printer Share?
 Scanner Share?
Other:  Share?
Audio Visual / Video:
 Digital Camera Share?
 LCD Projector Share?
 Overhead Projector Share?
 Video Camera Share?
 Sound System Share?
Other:  Share?
Mechanical:
 Extension Cords Share?
Other:  Share?
Special Event:
 Cash Boxes Share?
 Coin Rollers Share?
 Decorations Share?
 Security Vests Share?
 Snow Fencing Share?
 Stanchions Share?
 Traffic Signs Share?
 Walkie Talkies Share?
Other:  Share?
Other Equipment:
  Share?
 
 
 
5.
a. What services does your organization provide to the community?
 
 
b. Please indicate specifically what outreach services you are presently providing to assist the most vulnerable in our community:
Food:
 Cash / Cheque Voucher Fresh / Perishable Items
 Non-perishable Items MealsOther Services: 
Clothing:
 Cash / Cheque Voucher Clothing
Other Services: 
Shelter:
 Cash / Cheque Voucher Space
 Home BilletingOther Services: 
Counselling:
 Credit Counselling Active Listening Family Counselling
 Counselling for AddictionsOther Services: 
 
c. How do you make these services known to the public?
 
 
d. What projects is your organization involved in now?
 
 
 
 
6.
a. What programs and services are you being asked to provide that you cannot accommodate?
 
 
b. What do you need in order to respond to these requests?
 
 
 
 
7.
a. Does your group partner or work with other groups / organizations?
 Yes  No
 
b. If yes, how?
 Sponsor events together
 Share resources or equipment
 Share information
Other: 
 
 
 
8.
a. Would you be interested in participating in new projects or events that are directly related to your mission?
 Yes  No
 
b. Would you be interested in participating in new projects or events that are indirectly related or outside of your mission?
 Yes  No
 
 
 
9.
a. Is your organization using the Chatham-Kent Community Strategic Plan?
 Yes  No
 
b. If yes, how?
 
 
c. Is your group a Partner In Progress?
 Yes  No
 
d. If no, would you like information about Partners In Progress?
 Yes  No
 
 
 
10.
a. Is your group affiliated with other countries in the world?
 Yes  No
 
b. If yes, please list:
 
 
 
 
 

PART C: REQUIREMENTS

11.
Does your organization currently, or in the future, require space for:
 Office
 Board and Committee Meetings
 Recreation / Leisure Programming
 Arts and Cultural Programming
 Storage
 Training
 
 
 
12.
What training requirements does your group have?
Board Development:
 Board Roles and Responsibilities
 Developing By-Laws
 Effective Board Meetings
 Evaluating the Board of Directors
 Evaluating the Executive Director
 Making Annual Meetings Work
 Recruiting, Orienting and Supporting Board of Directors
 Strategic Planning
 Successful Committees
 The Right Model and Structure for your Organization
Other: 
Fund Development:
 Effective Presentation Skills
 How to Plan a Successful Special Event
 Planned Giving Models
 Using Power Point to Develop Effective Visuals
Other: 
Finance and Legal:
 Budgeting Skills & Techniques
 Charitable Gaming Regulations
 Charitable Receipts - The Income Tax Act
 Duties & Liabilities of Directors of Charities and Non Profit Organizations
 Financial Stewardship for Board Members
 Risk Management for Board of Directors
 The T-3010 - How To Complete the Annual Income Tax Return
Other: 
Human Resources:
 Conflict Resolution Skills
 Conducting Effective Performance Evaluations
 Developing Effective Job Descriptions
 Interviewing Skills
 Mediation Skills
 Respecting Diversity
 Team Building Ideas
 The Employment Standards Act - An Overview
Other: 
Program Management:
 Managing the Media
 Outcome Based Evaluation
 Writing Winning Grant Proposals
Other: 
Volunteer Management:
 Effective Management of Volunteer Programs
 Risk Management Process
 Certification in Volunteer Management
 Volunteer Screening
Other: 
Research:
 Conducting Client Satisfaction Surveys
 Making Data Collection Work
 Using Focus Groups for Evaluation
Other: 
Other: (please list other training needs that you might have below)
 
 
 
 
13.
Please specify any other needs that your organization may have.
 
 
 
 
 
Submitted By:  
 
 
Your comments on this form are welcomed.
     
 
 


  
 
Thank you for helping us help others!
 
If you have any questions, please contact:
United Way of Chatham-Kent
P.O. Box 606
425 McNaughton Avenue West
Chatham, Ontario N7M 5K8
519 354 0430 fax: 519 354 9511