[safelink] NeON Stakeholder Group - Application and Agreement

Date

Preferred Email

Preferred Phone Number

Current Affiliation

Individual Community Member

Young Adult Recommended by NeON

Non-Profit or Other Community Group

Faith-Based Organization

Student

Local Business or Employer

NeON Stakeholder Groups are located in 7 communities. Select the neighborhood(s) in which you are applying to become a NeON Stakeholder.

Bed-Stuy

Brownsville

East New York

Harlem

Jamaica

Northern Staten Island

South Bronx

NeON Mission: Neighborhood Opportunity Network (NeON) is a model of client and community engagement which creates opportunities for people on probation to connect with positive life pathways and their community. This Department of Probation model of strengthening the seven NeON communities has three pillars:

Client Engagement
Community Participation and Engagement
Network of Quality Community Programs and Services

NeON Stakeholder Groups are central to this work and play a leading role in the development of NeON programming.

Please describe your connection to the neighborhood you've selected and share why you wish to volunteer as a member of the NeON Stakeholder Group in this community.

What Languages Do You Speak?

NeON Committee Interests (Check All That Apply)

General Committee - Community and Client Needs and Strengths Assessment and Action Planning

Program Planning and Grant Awards

NeON Services/Resources/Events

Communications/Community Outreach

Agreement: I agree to fulfill the roles and responsibilities outlined in the NeON Stakeholder Group Volunteer Role Description. I agree to advocate for the NeON as an ambassador in the community. I agree to attend monthly Stakeholder Group meetings and contribute 1-2 hours per month on each NeON Committee I choose to join. I agree to be recognized, trained, and acknowledged as a NeON Volunteer Stakeholder.

Yes

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Last Name

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Date Signed (MM/DD/YYYY)