Navigator Data Entry – Community Overview

State

Community Name

Community Type

If other, describe the community type

What is your pre-existing connection or relationship to this community, before you began work as a Navigator?

Please select the nature of your pre-existing relationship with this community

Formal partnerships (e.g., contracts agreements)

Informal connections (e.g., acquaintances, casual contacts)

Personal ties (e.g., friends, family)

Professional networks (e.g., colleagues, industry contacts)

Community involvement (e.g., volunteering, local events)

Other (please describe)

Please briefly describe your connection to this community

Population of this community at last census count

CDRZ and Other Community Designations

Community is associated with CDRZ Group(s):

– Fill Out Other Fields –

When you established contact, did the community already know it had one or more CDRZ designation(s)?

How did they learn of their CDRZ designation?

Comments

When you established contact, did the community know what a CDRZ designation entails?

Comments

Before you established contact, had the community taken advantage of any CDRZ designation benefits to date?

Which benefits?

Comments

Select all other designations this community has

CEJEST Disadvantaged

Community Resilience Challenges Index

Other (please describe)

If CEJEST Disadvantaged, please describe

If Community Resilience Challenges Index, please describe

If other designations, please describe

Engagement and Assistance

Have you contacted this community?

If yes, did the community accept the assistance you offered?

Comments on the community's response to the offer for help

If no, do you know why they did not accept the assistance you offered?

Limited capacity or bandwidth

Not interested

Services did not match need

Lack of trust

Do not know

Other (please describe)

Please describe other reasons the community has declined assistance

If no, why haven’t you conducted outreach to X community?

Limited capacity or bandwidth

No contact identified in CDRZ

Community does not meet profile of assistance

Other (please describe)

Please describe other reasons you have not conducted outreach to this community

Navigator Work Agreement

Confirm

Agreement is in place to govern relationship between this community and Navigator

Upload signed agreement

Accepted file types: pdf, Max. file size: 1 MB.

Community Contacts

Row ID	Select the communities this contact is associated with	Name	Title/Role	Organizational Affiliation	Actions

There are no Entries.

Community Goals

Configuration Required
Use the Nested Form and Summary Fields settings to choose the form and fields to display in this Nested Form field.

Navigator Support & Referrals

Navigator Activities

Row ID	Community	Short Title	Priority for Navigator	Deadline	Actions

There are no Entries.

Referrals to Project TA Providers

Row ID	Which project TA provider?	Which community goal is this task related to?	Actions

There are no Entries.

Add any referrals to the technical assistance provider partners that are part of this project.

Referrals to other resources or TA providers

Row ID	Provider/Resource Name	Which community goal is this task related to?	Community decision	Actions

There are no Entries.

Assessments & Progress Tracking

Annual community assessments

Row ID	Select the community	Date of assessment	Actions

There are no Entries.

Steps to Resilience Assessment

Row ID	Community	Date of assessment	Based on your engagement and discussions with the community, which step do you think best represents their current status?	Actions

There are no Entries.

Resilience Maturity Model Assessment

Row ID	Date of assessment	Community	Resilience leadership refers to a formal leadership structure that coordinates and directs resilience efforts. How would you describe the level of resilience leadership in the community?	Actions

There are no Entries.

Navigator Network Data Entry: Community Overview

CDRZ and Other Community Designations

Engagement and Assistance

Navigator Work Agreement

Community Contacts

Community Goals

Navigator Support & Referrals

Assessments & Progress Tracking

Stay Updated!