New Mexico Water Connections Survey
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| Organization Information
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| Organization Name:
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| Executive Director:
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| Address(Street):
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| Address(City,State Zip):
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| Phone Number:
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| Fax number:
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| E-mail address:
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| Web site/page:
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| Please provide a concise version of the organization's mission statement:
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| Water Projects
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| Does this organization work on projects related to issues other than water? If yes, please list other issues:
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Yes
No
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Please restrict the rest of your answers to the survey to the organization's water related projects. We recommend having the Water Project Director fill out the survey, thank you.
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| Water Project Director/Key Water Contact:
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| Total number of staff working on water issues:
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| Address(Street):
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| Address(City,State Zip):
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| Phone Number:
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| Fax number:
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| E-mail address:
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| Please provide titles or brief descriptions of the organization's water related projects. If possible, state the time frame of the projects:
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| Water Keywords
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Please check all of the key words that apply to your organization's water related efforts:
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| Geography
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| Do this organization's water related projects apply to a specific community? If yes, please state:
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Yes
No
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| Do this organization's water related projects apply to a specific watershed or body of water? If yes, please state:
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Yes
No
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| Please state the counties in New Mexico in which this organization has water related projects:
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| Participation
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Is this a coalition of other organizations?
Yes
No If yes, how many?
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Is this a membership based organization? That is, does the organization have a list of members who receive certain benefits, such as information, and/or from whom the organization requests support?
Yes
No
If yes, roughly how many members are in the organization?
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If yes to either of the above questions, do the entities/membership of this coalition/organization extend beyond New Mexico?
Yes
No
If yes, please state the area of operation:
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On a scale of 1 to 10, how directly would you say that this organization's water related projects interact with land and water users, with 1 most directly and 10 least directly? For example, a water project that ranks itself "1" might call up land users to offer hands on assistance with implementing a new conservation practice; a project that ranks itself "10" might interact only with federal water managers on a day to day basis.
1
2
3
4
5
6
7
8
9
10
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| Non-Profit Status
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Is this a 501 (c) (3) organization? Please check one.
Yes
No, but has begun the process of becoming one.
No, but considering becoming one.
No, but can be considered one for purposes of funding from some sources (please explain below)
No, no plans to become one.
Explain here:
If yes, does this organization serve as fiscal agent for other entities?
Yes
No
If no, does this organization use other 501(c)(3) organizations as fiscal agents?
Yes
No
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| Funding Sources
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Which of the following sources does this organization use for its water related efforts? Please check all that apply.
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Member Contributions
Private/charitable foundations
Corporate foundations (e.g., U.S. West Foundation)
State or Federal Grants
Corporate donations or sponsorships (e.g. Intel, PNM)
Local business donations or sponsorships
Contracts with government agencies
Fees for services to individuals or businesses
Newsletter subscriptions
Conferences, seminars
Events, raffles, and/or product sales
Other (please state)
Explain Other here:
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| Collaboration
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How would this organization like to collaborate with other organizations on water related projects?
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| Username and Password
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In order to post bulletins on the news page, and events on the calendar, you will need a username and password for your organization. Please enter something memorable.
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Please enter a username
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Please enter a password
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Please confirm your password
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Thankyou for your input, your organization's information will be added to the NM Water Connections' database. Please review the information carefully before clicking the 'submit' button below.
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Monday May 12th, 2008
