COMMUNITY ENGAGEMENT PLANNING TOOL

Prepared for

Name: _____________________________________________________ Address:____________________________________________________ Phone Number: _____________________________________________ Agency Contact: _____________________________________________

Conducted by: _______________________________________________

Interests, Connections and Networks

Interests

1. What type of things do you like to do? 2. Do you have any hobbies? 3. Are there any activities you would like to do but can’t? 4. What is your favourite thing to do? 5. What is more important to you- Attending the community activities or

spending time with your friends? 6. Is there anything you would like to learn how to do?

Connections

1. Do you have friends that you currently go out and do things with? 2. Are you interested in participating in activities with these friends? 3. Are you interested in making new friends? 4. Are there any people that you would like to spend more time with. 5. What do you like to do with your friends?

Networks (Places you go to regularly)

1. Do you belong to any groups or clubs? 2. What activities do you currently do during the week? 3. What places do you go on a regular basis? 4. How do you get to the places you like to go?

Goals for Community Engagement

1. 2. 3.

Contact List Name Email Phone number Weekly Schedule Which days are you available during the week?

o Monday A.M.____ P.M. ____ o Tuesday A.M.____ P.M. ____ o Wednesday A.M.____ P.M. ____ o Thursday A.M.____ P.M. ____ o Friday A.M.____ P.M. ____

Weekly Schedule Monday Tuesday Wednesday Thursday Friday Saturday Sunday

Community Engagement Planning Worksheet Step 1: Identify key areas of interest.

Objectives: •

Tasks: •

Step 2: Find the community where the passion is regularly celebrated. List places you can go to do the things you are interested in doing.

Objectives: •

Tasks: •

Step 3: Understand how the community operates. List the things you may need to know about the community (Rituals, Social Patterns, Language, Background)

Objectives: •

Tasks: •

Step 4: Find and engage the gatekeeper.

Objectives: •

Tasks: •