Name:

Title:

Organization:

Email Address:

Phone Number:

Mailing Address:

Name of the Partnership/Ongoing Collaboration

Year Founded:

Main office address:

Main office city:

Main office state:

Main office zip:

Describe the location and scale of the area your partnership or collaboration is actively working to conserve:

Describe your mission statement:

Check the Conservation Goals which apply to your organization (check all that apply):

Other:

What are the important lessons your partnership has learned about land conservation efforts that would be helpful to other conservation groups? Please be detailed with responses.

Please highlight the major achievements your partnership has orchestrated since its founding.

What work does your partnership engage in to reach out to/inform private landowners about land management and / or conservation options?

What is the dominant form of funding for your partnership?

Please check all types of funding you receive:

Other:

Describe the organizational structure of your partnership (e.g. do you have a steering committee, working groups, coordinator, etc.)

Please provide a complete list of partner groups, or a url link to an accessible list:

Please provide any suggestions you may have on ways to improve this survey: