get_involved

DO YOU WANT A MURAL IN YOUR COMMUNITY?

COMMUNITY PARTNER QUESTIONNAIRE


Contact Information

Name:


Organization you represent:


Address [line 1]:


Address [line 2] :


City:

State Zip

Phone:


Fax:


Email:

 

 

Mural Experience

Have you been involved in a mural project before?

yes no

With whom?


How did you find out about Groundswell?

 

 

Project Information: Who? What? Why?

Who do you see as the mural team (the group that will collaborate with the lead muralist on researching, designing and executing the mural. For example, eighth-graders at IS 999, families from a particular block or neighborhood, seniors from a retirement home.)?



Do you plan:

to do the outreach for the group?
or do you need assistance from Groundswell?

Describe the community in which this project will take place

Why do this? What are some of the objectives of the project? (for the participants, for the mural audience?)


Is there a theme you want explored?

yes no

What is it?


Which of the following would best describe the Workshop phase of the project?

Summer F/T project
In School
After School
Intensive Weekend Workshop
Other (please describe)



When do you want workshops to start?


Do you have space to conduct workshops?

yes no

Where?


Who from your organization needs to approve the project?


Who from your organization needs to approve/give input on the design?


Do you have any comments on who the artist should be?

 

Wall Information: Where?

Do you want to do:

Outdoor Wall
Indoor Wall
Plywood Installation
Canvas Mural
Other (Please Describe)

Have you located a site?

yes no

Where?


Have you secured permission from the wall owner?

yes no

What are the wall dimensions?

What material is the wall? Is it in good condition?

Are there other permit/wall access issues that you know about?

Please list below some of the stakeholders (people who might want to know about/be notified about the mural)?

Financial/Resources: How?

Do you have funding secured?

yes no

How much?

Are you willing to fundraise collaboratively?

yes no

Do you have access to other in-kind resources (ie: scaffolding, etc)?

Other Comments (please use this space to add any other information you think we should know).