Name of Neighborhood or Homeowners Association:
Street/P.O. Box:
City/Zip:
Fax Number:
Email or Web Site Address:

Primary Contact Information: 

Primary Contact Person:
Association Office Held:
Primary Contact Address:
Primary Contact Home Phone:
Primary Contact Work Phone:
Primary Contact Email Address:

Secondary Contact Information: 

Secondary Contact Person:
Association Office Held:
Secondary Contact Address:
Secondary Contact Home Phone:
Secondary Contact Work Phone:
Secondary Contact Email Address:

Neighborhood Information

Neighborhood Association Boundaries: (specify exact streets and geographic boundaries)

North:
South:
East:
West:

When was your neighborhood/homeowners association started?

Who is eligible to be a member of your neighborhood or homeowners association? (For example, residents, businesses, organizations, etc.)

How many homes are located in your association’s boundaries?

How many people belong to your association?

Does your association have adopted bylaws? If yes, please include with your application.

No Yes

List any subcommittees that have been formed and what their areas of interest are.

How often does you association meet?

When does your association meet?

Where does your association meet?

Does your association charge its members dues?

No Yes

If yes, how much?

How often are dues collected (annually, bi-annually, monthly)?

... annually bi-annually monthly