Family Leadership Council

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Please fill out the interest form below, if you are interested in joining the Family Leadership Council. One of our team members will contact you with further information.

If you have any questions or want more information, please email us at: education@unitedwaylane.org.

电子邮件地址 *

First and Last Name *

Phone Number *

City and Zip Code (in Lane County, Oregon) *

We are committed to hearing from a diversity of parent/caregiver voices and experiences. Please indicate below if you or your child(ren) identify with any of the following: *

BIPOC - Black, Indigenous, Person of Color

LGBTQIA+

Resident of a rural community

Currently navigating poverty (or have in the past)

Immigrant or refugee

Experience a chronic medical condition, developmental delay, or life altering disorder or disability

None of the above

必填

We're interested in why you're interested! What are you hoping to contribute or take away from this group? *

Is there anything else you would like us to know?

Will you need Spanish language interpretation to participate? *

Yes

Sign me up to receive the monthly LaneKids newsletter full of great resources for Lane County parents. *

Yes, I'm in!

No thanks

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