Document qao9Nmq5rXNGR3wO43BYm4Qx

Community Planning and Visioning Tool - Working Draft Priorities & Community Vision 1. What are the needs your community wants to see addressed (e.g. health disparities, lead exposure awareness, healthcare access, healthy food access, recreation and green space, renewable energy, physical infrastructure, access to safe drinking water, jobs, etc.)? a. Are there any contaminated areas or resources (natural, cultural, built, etc.) that need to be addressed (e.g. illegal dumping site, brownfields site, lead contamination, Superfund site, groundwater contamination, port or facility emissions, etc.)? b. What are your community's priorities (e.g. safe drinking water, clean air, elimination of lead, availability of healthy foods/healthy food production, job creation, parks, recreation areas/ballfields, crime reduction, affordable housing, health care, walkability, disaster preparedness, improving infrastructure, etc.)? What order or sequence would you like them to be addressed? 2. Based on your responses above, what is your community's vision? What does your community want to look like in 5, 10, 15 or 20 years? Beneficiaries 1. Who is expected to benefit from addressing your community's priorities and implementing your community's vision? a. Direct (all those who will be helped by, impacted by, or will utilize the project or project outcomes): b. Indirect (all others living within the 'zone of influence' of the project): 2. What are the demographic characteristics of the community to benefit from or be impacted by the project or project outcomes? a. Races/Ethnicities of Community Population: b. Income Levels of Community (e.g. % low, moderate, etc.): c. Geographic Area (rural, urban, agricultural, mountainous, tribal lands, etc.): d. Educational Levels (elementary, high school, college, etc.): e. Languages Spoken & Translation Needs: f. Access to Health Care (List nearby clinics and hospitals): g. Access to Healthy Foods (List nearby grocery7stores, comer stores, fresh food stands): h. Ages (children, school-aged children, elderly, etc.): i. Other: Resources 1. Who are your partners and what relationships have you/your community cultivated? What contributions are these partners making to help you meet your community's priorities and vision? (Note: It is useful to develop a separate roster of the contact information for each partner.) a. Local Partners i. Community-Based Organizations: PAGE \* MERGEFORMAT Sierra Club v. EPA 18cv3472 NDCA Tier 7 ED 002061 00072183-00001 Community Support WORKSCRIPT ii. Business/Industry: iii. Faith-Based Organizations: iv. Academic Institutions: v. Others: b. Government Partners i. Municipal Government: ii. State Agencies: iii. Tribal Agencies: iv. Federal Agencies: c. Regional & National Organizations: d. Other Potential Partners: 2. What resources have you already received (e.g. grant funding, training, technical assistance, etc.)? Were you able to leverage these resources to gain additional resources? 3. What has been a recent community success? What challenges did the community face? What best practices resulted from this success? Are the partners involved in this success still involved in the community? 4. What additional resources and support are available? What steps are you planning to take to obtain these additional resources and support? ACTIONS 1. What are your planned immediate, short-term, and long-term next steps to accomplish your desired results? Describe specific future output(s) and outcome(s) for each activity/task you have planned. Outputs are your measurable work products or deliverables (e.g. number o f healthy home kits provided tofamilies). Outcomes are the measurable effects and broader results o fyour work (e.g. reducedpercentage o ffamilies exposed to lead, asbestos, and other home-based hazards). a. Immediate: Task /Activity 1 Outputs: Outcomes: Task /Activity 2 Outputs: Outcomes: b. Short-Term Outputs: Outcomes: c. Long-Term Outputs: Outcomes: 2. How are you defining and measuring "success" toward addressing your community's priorities and accomplishing your community vision? What needs to happen for the community's priorities to be addressed? What is the expected change or outcome? 3. [List all that apply.] a. Performance Measure 1: [ PAGE \* MERGEFORMAT] Sierra Club v. EPA 18cv3472 NDCA Tier 7 ED 002061 00072183-00002 Community Support W O R K SC Ri PT b. Performance Measure 2: c. Performance Measure 3: d. etc. Sierra Club v. EPA 18cv3472 NDCA Tier 7 [ PAGE * MERGEFORMAT ED 002061 00072183-00003