2012 EWM Community Entry Form

1. 

2. First Name*

3. Last Name*

4. Email Address*

5. Community Name*

6. State*

7. Have you heard of CivicPlus before? If yes, from where?*
   1. Yes
   2. No

8. Where have you heard of CivicPlus?

9. Who is in charge of your current website? *
   1. I am
   2. Another person

10. In which department is the primary person responsible for the website?*

11. Who are the primary decision-makers when it comes to web communication?*

12. When is the last time your website was updated?*

13. Have you been considering a website update in the near future (i.e. next 12 months)?*

14. Do you currently have a website vendor?*
    1. Yes
    2. No

15. What are three of the most important features or benefits you feel are lacking from your current site?*

16. What would a more interactive, engaging site mean to your community?

Leave This Blank:


17. 1. Receive email copy
18. Email address

19. Submit

* indicates a required field