Asset Building in Our Community, Eaton Rapids


Community Asset Application

Are You or Your Organization an Asset?

We welcome you as an applicant to register yourself (or your group or organization) on this web-site for, Asset Building in Our Community (ABC). Online registrants will be emailed a copy of their application. Also, we thank you for your interest in building local youth assets. If you prefer, you may complete and sign the application, and mail it to the Assets Board (123 E. North St., Eaton Rapids, MI 48827). We are not in a position to endorse ABC registrants to youth or parents, or to monitor activities. The Assets Board is only able to make your resource known to youth who inquire. Questions? Call Roger Nelson days at 628-2725.

We have provided some examples to assist you in filling in the information we need to process your application. You can view them here (pdf).

A printable version (pdf) of this registration form is available for mailing or faxing.

*Definitions:

Resource: General term, meaning a source of goods, services or activities (agency, school, food bank..)
Organization: Profit or Non-Profit legal entity (business, church, hospital, Service Club, Boy Scouts..)
Employer: A resource or organization that offers job-experience and/or pay (store, agency..)
Group: Generally an informal and on-going group of people who meet (family, friendship, study, hobby, volunteer..)
Neighborhood Group: Proximal adults & youngsters who do activities together (for fun, friendship, projects, seasonal get togethers..)
Individual: One person who would like to be a wholesome resource to a youngster (mentor, coach..)

Contact Information

Contact Name:

Name of Group Leader:
(if different than contact name)

Phone:

Best contact time:

E-mail Address:

Street Address:

Address (cont.):

City:

State: Zip:

Today's Date:

(mm/dd/yy)

Information on Community Asset

1. Name of the resource*, organization*, employer*, group*, neighborhood* or individual* (definitions above):

Resource Category:

Resource Employer Organization Group

Neighborhood Individual Other

2. Description of the resource(s), program(s), or activities

3. Typical months, days and hours of operation:

4. Age-groups or grade-levels most appropriate for this community asset:

5. List any fees, restrictions, enrollment numbers, or special skills required:

6. List any referral or parental permission requirements:

7. References or testimonials on this asset, and years of operation:

Can you assist with transportation?Yes No Sometimes

Optional Group information

Type of youngster sought, or what needs are you trying to meet:

Other information that may be helpful to a youth in selecting this asset:

Note: Files in this area are in PDF. You will need Adobe Acrobat Reader installed on your computer. Acrobat Reader is available by visiting Adobe's web site.