Enroll - Kansas Community Empowerment Communities

Enrollment Form

You are about to enroll. Please fill the following form and click 'Enroll my Community' Button.

* (Asterik) marked fields are required.

User Information

First Name *

Last Name *

Email *

Emails are case insensitive.

Preferred Phone

Username *

Usernames are case insensitive.

Password *

Please use a unique password.

Retype Password *

Community *

My community it's not in the list

Community Information

Most recent stored data for the community. If you would like to update this information, please select the Community link on the left menu after your enrollment.

Enter the information regarding your community. This information will be verified by the administrators.

Community Name *

Organization Name

Resolution Number

Download Resolution Form

Enrollment Classification *

Click here for more information

Community of Growth

Community of Action

Community of Excellence

Regular Meetings

Kansas Community Empowerment Group Website or Facebook (if applicable)

Mailing Address

City

ZIP *

Local Extension Unit

County * Can’t find your county? CLICK HERE for District Information

District

Contact Information

You will be assigned as Primary Registered User for this new community. Please add information for other points of contact (i.e. other officers).

Contact 1

Name

Preferred Phone

Contact 2

Name

Preferred Phone

You, as Primary Registered User, and your added contacts will be subscribed to the Newsletter. If you want other team members' emails added to the Newsletter Subscription List please include them in the following textbox.

Please separate emails by semicolon.

Memorandum of Understanding Between the Kansas Community Empowerment program (KCE) and your community

The Kansas Community Empowerment Agrees to:

Provide networking opportunities for volunteers from local KCE communities at the local and state level as well as through electronic media.
Provide recognition opportunities for volunteers from local KCE communities in annual review, certificates and grant funds when applicable.
Provide educational opportunities for volunteers from local KCE communities available from a variety of sources.

The local Kansas Community Empowerment participating community agrees to:

Annually enroll in the KCE program by completing all required forms.
Complete a community assessment every 3-5 years. (Community of Excellence only)
Identify and complete community projects that contribute to the improved quality of life.
Identify measurement tools and measure success that is reported through the quarterly reports.

By completing the enrollment process this Memorandum of Understanding is agreed to by all parties.