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Early Childhood Work Group Application Form
Thank you for applying to become a member of our Early Childhood Work Group!
* Indicates required question
Email
*
Your email
Name
*
Your answer
Profession (including stay-at-home parent) and degrees if applicable
*
Your answer
Professional affiliations & networks
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Option 1
Are you a member of the Action Network (please note this is *required* to join a Work Group...you can
join here
if you are not already an Action Network member)?
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Yes
No
Why would you like to join our work group?
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Your answer
What skills would you like to contribute to our work group (check all that apply)?
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Writing/editing
Resource promotion
Media/press engagement
Graphic design
Research
Fundraising
Other:
Required
We meet once every 2-3 months (1.5 hours). In addition, work group members are expected to devote 2-3 hours or more to project work between meetings. Is this a commitment you’re willing and able to make?
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Yes
No
Not sure
Do you have any experience advocating on screen time issues (this is not a requirement to apply)? If so, please describe.
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Your answer
Birth year(s) of child(ren)?
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Your answer
City, state, time zone
*
Your answer
Phone number
Your answer
A copy of your responses will be emailed to the address you provided.
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