Developing A Civic Action Plan Worksheet

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DEVELOPING A CIVIC ACTION PLAN

My name:

1. A) The civic issue I


have chosen for
this assignment is:
B) The reason I
chose this issue is:
2. The change I would
like to see is:
3. Other points of view
on this issue and what
some people may want
to see happen is:
4. Three possible
methods that could be
used to take action on
this issue are:
5. The one action that I
could take that would
work best for me at
this time is:
6. The reason why I
think this action will
create positive change
is:

7. My main goal in
carrying out this action
would be:
8. The level of
government and the
representative that I
should consult with on
this issue are:
9. The government’s
current position on this
issue is:
10. Two stakeholder
groups and/or
individuals that might
support my plan are:
11. If I carried out my
action plan, I think
possible responses
from the community
affected and the
government might be:
12. Three possible
outcomes as a result
of the action I have
selected might be:
13. After taking this
action, I would know
that I had achieved my
goals if I saw:

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