Partner Assessments for the Urban Wildlife Conservation Program

Urban Wildlife Conservation Program
Partner Assessment
OMB Control Number 1090-0011 \ Expires: 10/31/2021 
Welcome to the Partner Assessment for the U.S. Fish and Wildlife Service’s Urban Wildlife Conservation
Program (UWCP) which includes Urban National Wildlife Refuges, Urban Wildlife Refuge Partnerships,
and Urban Bird Treaty Program Cities! Thank you in advance for this important input. It will help us as
partners to address any concerns, build on strengths, and increase understanding of our shared goals
and commitment to reaching them.
Some things to know:
Groups or organizations may have multiple individuals complete separate assessments, or you
may have one or more individuals submit a single assessment.
If you have any questions, feel free to reach out to your local Service contact or the national
program coordinators:
Urban National Wildlife Refuges and Urban Wildlife Refuge Partnerships: Angelina Yost,
[email protected], 703-358-2432
Urban Bird Treaty Program: Roxanne Bogart, [email protected], 413-253-8582

Paperwork Reduction Act Statement: We are collecting this information subject to the Paperwork Reduction
Act (44 U.S.C. 3501) to understand and improve our relationships with partners. Your response is voluntary and
we will not share the results publicly. We may not conduct or sponsor and you are not required to respond to a
collection of information unless it displays a currently valid OMB Control Number. OMB has reviewed and
approved this survey and assigned OMB Control Number 1090-0011, which expires 10/31/2021.
Estimated Burden Statement: We estimate the survey will take you 30 minutes to complete, including time to
read instructions, gather information, and complete and submit the survey. You may submit comments on any
aspect of this information collection to the Information Collection Clearance Officer, U.S. Fish and Wildlife
Service, 5275 Leesburg Pike, MS: PRB/JAO-1N, Falls Church, VA 22041-3803.

Throughout the assessment, consider “we,” “organization,” or “group” to mean
the entity that you represent as a partner, even if you are an individual
representing yourself.
1.) Name of your organization/group/other (enter “not applicable” if as a partner you do not represent an
organization or group):

2.) Type of organization/group/other (or enter “individual”):

3.) Are you completing this assessment along with other individuals from your organization?

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Yes

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No

4.) Provide just job/position titles for those who contribute to completing the assessment. If you prefer
not to share this information, please enter “decline”:

Throughout the assessment when “Service” appears, consider this the local Service staff you are
working with. Your local Service partner is the Service entity with which you are working. It may be a
National Wildlife Refuge, Urban Wildlife Refuge Partnership, Urban Bird Treaty City, Ecological Services
Of ce, or National Fish Hatchery.

5.) Who is your local U.S. Fish & Wildlife Service partner?

6.) When did your collaboration with the Service begin?

7.) If applicable, describe the mission of your organization or group?

8.) Please describe the nature of your collaboration with the Service and very generally the types of
projects/activities you work on related to the Urban Wildlife Conservation Program (UWCP).

9.) Based on your understanding, brie y state one goal and up to three objectives for this collaboration
with the Service. Goals are broad and aspirational, re ective of the desired future condition. Objectives
describe what you intended to do/ accomplish in order to achieve the goal.

10.) Describe in a few sentences the desired outcome(s) for the activities/projects undertaken in
collaboration with the Service. Outcomes are the bene ts and impacts that you hope will result from
ti iti / j t

activities/projects.

11.) Does your work focus on serving a particular community? A community may be a neighborhood,
ethnic population, age group, school district, group that shares a common interest, etc.

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Yes   

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No

13.) To what extent do you agree or disagree with the following statements with respect to mutual
understanding of missions and interests?
Strongly
Disagree

Moderately
Disagree

Neutral

Moderately
Agree

Strongly
Agree

NA

Service staff understand our
mission and interests.

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We understand the Service’s
mission and interests.

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We understand the Urban Wildlife
Conservation Program.

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14.) To what extent do you agree or disagree with each of the following statements with respect to the
vision for the collaboration between yourselves and the Service?
Strongly
Disagree

Moderately
Disagree

Neutral

Moderately
Agree

Strongly
Agree

NA

Service staff understand why we
wish to work in collaboration with
them.

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We understand why the Service
wishes to work in collaboration
with us.

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It is clear what resources/skills we
bring to the collaboration.

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It is clear what resources/skills
Service staff bring to the
collaboration.

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We have a clear vision of the roles
and responsibilities for our
collaboration.

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We have clearly de ned shared
goals and objectives for our
collaboration.

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15.) To what extent do you agree or disagree with the following statements with respect to
communication and trust within the collaboration?
Strongly
Disagree

Moderately
Disagree

Neutral

Moderately
Agree

Strongly
Agree

NA

There is regular communication
between Service staff and us.

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There is open and clear
communication between Service
staff and us.

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Communication is su ciently
effective between Service staff
and us to result in a successfully
functioning relationship.

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The perspective we bring to the
collaboration is respected.

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There is su cient trust between
those involved in the
collaboration.

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16.) To what extent do you agree or disagree with the following statements with respect to the
commitment and sustainability of the collaboration?
Strongly
Disagree

Moderately
Disagree

Neutral

Moderately
Agree

Strongly
Agree

NA

Service staff demonstrate a clear
commitment to the collaboration.

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Our staff demonstrate a clear
commitment to the collaboration.

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The success of the collaboration
does not solely depend on a few
key individuals.

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The collaboration has su cient
staff to maintain momentum and
execute strategies.

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The collaboration has individuals
with the appropriate skills to
maintain momentum and execute
strategies.

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The collaboration has su cient
resources to maintain momentum
and execute strategies.

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17.) Establishing a relationship’s strengths and challenges can serve as a springboard to building a more
effective collaboration. List up to 6 strengths of your relationship with the Service that facilitate meeting
the shared goals and objectives for the collaboration and up to 6 challenges to a successful relationship
with the Service from the perspective of your organization or group.

a.) Relationship strengths:

b.) Relationship challenges:

18.) To what extent do you agree or disagree with the following statements with respect to the
challenges within the collaboration?
Strongly
Disagree

The principal challenges to a
successful collaboration are
known and understood

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Moderately
Disagree

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Neutral

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Moderately
Agree

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Strongly
Agree

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NA

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known and understood.
We have started discussions with
the Service to strategize on how to
minimize and mitigate challenges
to a successful relationship.

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Commitment to the success of the
collaboration is su ciently robust
to withstand most challenges to
its successful functioning.

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19.) Please describe how you think your relationship with the Service can improve, if at all.

20.) To what extent do you agree or disagree with each of the following statements with respect to
assessing how well the collaboration is working?
Strongly
Disagree

Moderately
Disagree

Neutral

Moderately
Agree

Strongly
Agree

NA

There are clear guidelines to
effectively monitor and evaluate
how the collaboration is working.

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Findings from monitoring and
evaluation are, or will be, widely
shared with those involved in the
collaboration.

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Findings from monitoring and
evaluation are, or will be, widely
shared outside of the
collaboration (e.g., with the
community).

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The collaboration is achieving its
goals and objectives.

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The collaboration is achieving the
agreed upon outcomes.

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21.) If you agreed that the collaboration is achieving its goals, objectives, and agreed upon outcomes,
describe any indicators or evidence you have that supports this.

22.) Please share any additional comments or thoughts regarding your collaboration with the Service,
the Urban Wildlife Conservation Program, or this assessment.