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Whole Child Health & Wellness Collaborative
If you cannot attend our Kick-Off convening on December 18, 2019 in Sacramento, CA, but would like to stay engaged in the process please submit this short form.
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Email
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First Name
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Last Name
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Organization
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Title
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Stakeholder Group (Select All That Apply)
Business/Commerce
County/City Agency
Early Learning and Care
Expanded Learning
Family Member
Health Care Agency
Health Equity / Health Advocacy / Equity Organization
Intervention / Treatment / Recovery Agency
K-12 Stakeholders / Educational Leaders
Mental/Behavioral Health Organization
Philanthropy
Prevention Organization
State Agency
Student
Youth/Family Engagement
Sexual Health Organization
Other:
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What future opportunities are you interested in? (Select All That Apply)
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Convenings (will require travel)
Committee Work (will require travel)
Newsletter/Email Updates
Publications & Resources
Webinars, Virtual Meetings, and/or Focus Groups
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Are you interested in being listed as a supporter of this work on the California AfterSchool Network website?
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Yes, please list me as an individual supporter
Yes, please list my organization as a supporter
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