Camarillo Community Service Needs Analysis
Required Required Question(s)

This survey is intended to assist the Kiwanis Club of Camarillo, a 501(c)(3) charitable foundation, in developing community service projects that meet the needs of people living in Camarillo, CA.

Your feedback is essential.  Please take just a few minutes to answer the following questions and help us make Camarillo even better than it already is.
 
1.

Kiwanis' mission is to make the world a better place one child and one community at a time.  If you know of any challenges that impact children (ages birth to 18) in Camarillo, what are they and what do you think would help?
 

  • 350 characters left.
2.

While we focus primarily on the needs of children, we realize that our community has broader needs than just the needs of children.  If you know of any challenges that impact others in Camarillo (i.e., the elderly, persons with disabilities, military families, etc.), what are they and what do you think would help?
 

  • 350 characters left.
Required 3.

If we don't entirely understand your answers above or need more information about a community need that you have identified, may we contact you for clarification?  (We will not contact you for any other reason and will not share your contact information with anyone else.)
Yes
No
  • Comment:

  • 500 characters left.
4.

If you have given us permission to contact you, please provide us with your contact information below.
First Name:
Last Name:
Company Name:
Work Phone:
Home Phone:
Email Address:
emailaddress@xyz.com
City:
Postal Code: