STEW MAP

Welcome to the STEW-MAP Survey!

USDA Forest Service | OMB 0596-0240 | Exp. 08/31/2018

Burden statement:
PAPERWORK REDUCTION and PRIVACY ACT STATEMENTS: According to the Paperwork Reproduction Act of 1995, an agency may not conduct or sponsor, and a person is not required to respond to a collection of information unless it displays a valid OMB control number. Response to this request is voluntary. No action may be taken against for refusing to supply the information requested. The permanent data will be anonymous.

BURDEN ESTIMATE STATEMENT: Public reporting burden for this form is estimated to be 30 minutes per completed response. Direct comments regarding the burden estimate or any other aspect of this form to: Survey contact Name, full address and email address.

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To file a complaint of discrimination, write USDA, Director, Office of Civil Rights, 1400 Independence Avenue, SW, Washington, DC 20250-9410 or call (800) 795-3272 (voice) or (202) 720-6382 (TDD). USDA is an equal opportunity provider and employer.

The Stewardship Mapping and Assessment Project or STEW-MAP is collecting information about civic groups and organizations that do environmental stewardship work in your region.

STEW-MAP uses the following definition of stewardship:
Stewardship is conserving, managing, caring for, monitoring, advocating for, and educating the public about local environments. This may include planting trees, restoring a prairie, advocating for open space preservation, gardening in a schoolyard, cleaning up a vacant lot, or many other kinds of activities.

By completing this survey, you will be helping potential volunteers, public agencies, funders, and other stewards find your group and learn about what it does. You will also be able to learn about other stewardship groups in your region.

Your participation is completely voluntary. Your personal contact information will not be made public or used for any other purposes than by the research team to contact you if there are any questions about information you provide on the survey.

If you wish to have your organization's basic contact information and the place(s) you work displayed on the stewardship map for the region, you will have an opportunity to let us know in section two of this survey. All of the information you provide will help us to visually display the network of stewardship activities in your region.

STEW-MAP projects have already been completed in Baltimore, Chicago, New York City, Philadelphia, and Seattle. Please visit www.stewmap.net to learn more.

Thank you for your time and participation!

Contact Information

Your personal information will remain anonymous and we will not share the identifying information below with anyone outside of the research team. We may contact you if we have questions about information you provide on this survey.

First Name :
Last Name :
Phone :
Email Address :

Contact information for your group or organization

Contact Information

Group Name (required) :

Website (if available) :

Address 1 :

Address 2 :

City :

State :

Zip :

Group phone :

Group email :

Does your group wish to be on the online stewardship map?
The information shared with your group on the map will be limited to group name, website, mailing address, group email, and group phone number - plus your stewardship territory, which will be addressed later in the survey

Yes

General stewardship activities

Does your group do any of the following? (Please select all that apply.)

Conserve or preserve the local environment?

Take care of a place in the local environment (for example, a community garden, a block of street trees, an empty lot, a riverbank, a schoolyard, a forest preserve)?

Restore or transform local habitat (e.g. daylighting a stream, brownfield to prairie restorations)?

Monitor the quality of the local environment? This can include monitoring air or water quality, dumping, or species monitoring.

Advocate for the local environment?

Educate the public about the local environment?

Basic information about your group