Water Justice Training Institute Recruitment– Gulf Cohort 3 Application
Personal Information
First Name
Last Name
Phone Number
Email Address
Organization Information
Name of Your Organization
Type of organization
Organization Leader's Name
Which of the following best describes your organization’s community?
Rural
Remote
Underserved
None of the above
Select all that apply
Which communities and/or neighborhoods does your organization serve?
I represent a tribal community
Yes
No
Organization Address
Street:
City:
State:
Please select...
Alabama
Arkansas
Florida
Georgia
Louisiana
Mississippi
Texas
Postal Code:
Website
Social media handles
Mission statement
Organizational status
501c3
Faith-based organization
Other
Please specify
Does your organization have a fiscal sponsor?
Yes
No
Organization's EIN
Number of full-time staff at your organization
Number of part-time staff at your organization
Number of volunteer workers
What is your organization's annual budget?
Water-Related Challenges
What are the most significant water-related challenges currently facing your community? (Select all that apply)
Outdoor water quality (e.g., contamination, pollutants in nearby water bodies)
Flooding or flood management
Access to clean drinking water
Stormwater management
Water resource conservation
Aquatic ecosystem degradation
Wastewater treatment and sanitation
Drought or water scarcity
Water infrastructure performance / investment
Water affordability
Other (please specify)
Please specify (if 'Other' selected above).
In as much detail as you'd like, please further describe these significant water-related challenges and how they impact your community.
Have you documented any of the water-related challenges your community faces?
Yes
No
(e.g., taken photos, captured community narratives, written an article, etc.)
Please describe more about how you've documented these challenges
How would you describe your organization’s current level of priority for addressing the water-related challenges you described?
One of our top priorities
A moderate priority among several focus areas
A lower priority compared to other goals
Not currently a priority
If not, what are your priority issues of focus?
Flooding Information
Is your community vulnerable to flooding?
Yes
No
Unsure
If yes, what are the most common causes of flooding in your area? (Select all that apply)
Inadequate infrastructure and stormwater management (e.g., storm drains)
Coastal or river flooding
Flash flooding after heavy rainfall
Other (please specify)
Unsure
Please specify (if 'Other' selected above).
Community Engagement
Do members of your community have adequate information about the water challenges it faces?
Yes
Somewhat
No
Unsure
Have members of your community been actively engaged in addressing these water challenges?
Yes
No
Unsure
Are there existing efforts or partnerships in place to address water challenges in your community (e.g., local government initiatives, collaborations with other organizations)?
Yes
No
Unsure
If yes, please describe the efforts or partnerships.
Technical Assistance and Training
Has your organization ever received technical assistance or training to address water-related challenges?
Yes
No
If so, please describe the technical assistance or training you received.
Are there any activities, projects, advocacy plans, or other ideas that you'd like to pursue to address the water challenges?
Yes
No
Unsure
Assistance is needed to further develop plans and ideas
If yes, please describe them.
What types of support or resources would help your CBO take action on the water-related challenges you described?
Assistance with creating maps and visuals of water-related impacts
Tools for community engagement and outreach
Support with strategically communicating about impacts and solutions
Technical assistance in designing or implementing solutions
Partnership or collaboration opportunities
Funding or financial support
Policy or advocacy guidance
Other
Select all that apply
Please specify
Training Commitment
Can you or someone from your organization commit to attending all seven virtual workshops in the training series? Workshops will be held about twice per month on weekends or on weekday evenings.
Yes
No
Unsure
Is there anything else you'd like us to know?
Contact Information