6100-083 Partnership Evaluation Form

Urban Waters Federal Partnership Evaluation Form

Method: A survey conducted by an Urban Waters Federal Partnership (UWFP) Ambassador. Survey would be completed by partner organizations at each location once a year.

1. UWFP Designated Location: ________________________________________________

2. Connectivity - Please rate the following statements:

Participation in the UWFP has increased my organization’s connections by…	1 -Strongly Disagree	2 - Disagree	3 – Neither Agree nor Disagree	4 - Agree	5 – Strongly Agree
…increasing the number of partnership connections
…increasing the quality of partnership connections
…increasing the connections with community-based organizations
…increasing the connections with local, state, federal, or tribal governments

3. Added Capacity - Please rate the following statements:

Participation in the UWFP has increased my organization’s capacity to…	1 -Strongly Disagree	2 - Disagree	3 – Neither Agree nor Disagree	4 - Agree	5 – Strongly Agree
…fulfill my organization’s mission
…leverage funding
…generate new funding opportunities
…explore new partnership opportunities
…increase organizational expertise

4. Resource Sharing:

Has your organization benefited from sharing or receiving any of the following resources (multi-select pick list)?

• Knowledge/expertise/skills

• Data and information

• Staff

• Equipment

• Indoor spaces

• Outdoor spaces

• Volunteers

5. Creativity – Please rate the following statement:

Is the UWFP effective at implementing creative solutions and/or generating new ideas? (scale: 1 extremely ineffective to 5 extremely effective)

• 1 – extremely ineffective

• 2 – ineffective

• 3 – neither effective nor ineffective

• 4 – effective

• 5 – extremely effective

6. Collaborative Culture – Please rate the following statement:

The UWFP has improved collaboration or the collaborative culture within the watershed. (scale: 1 strongly disagree to 5 strongly agree)

• 1 – strongly disagree

• 2 – disagree

• 3 – neither agree nor disagree

• 4 – agree

• 5 – strongly agree

7. Future Events – What types of events would you like to see in the watershed in the next one to two years (multi-select pick list)?

• Topical webinars

• Clean-up events

• Plant/tree plantings

• Invasive species removal events

• Community education events

• Trail building/maintenance events

• Watershed restoration projects – living shoreline installation or maintenance, oyster bed installation, fish passage development, daylighting, green infrastructure projects, etc.

• Watershed tours – walking, biking, kayaking, canoeing, or boat tours

• Watershed-wide planning events to coordinate actions between organizations

• Water quality monitoring

• Job training events

• Other: (please specify)________________________________________

8. Additional Feedback

Please share any additional thoughts you have on the impact of the UWFP on your organization. ________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

OMB Control Number 2040-NEW

The public reporting and recordkeeping burden for this collection of information is estimated to average 0.5 hours per response.  Send comments on the Agency's need for this information, the accuracy of the provided burden estimates, and any suggested methods for minimizing respondent burden, including through the use of automated collection techniques, to the Director, Regulatory Support Division, U.S. Environmental Protection Agency (2822T), 1200 Pennsylvania Ave., NW, Washington, D.C. 20460.  Include the OMB control number in any correspondence.  Do not send the completed form to this address.

EPA Form Number 6100-083

Approval Expires XX/XX/XX