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FAM-Net Participant Registration Form
As you embark on your advocacy, we invite you to join FAM-Net so you can access trainings and workshops that will maximize your skills to take on any future advocacy role you'd like.
For more information, please contact
famnet@lead4tomorrow.org
.
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* Indicates required question
Email
*
Your email
First and Last Name
*
Your answer
City
*
Your answer
State
*
Your answer
Zip Code
*
Your answer
Mobile Number
*
Your answer
What is your Primary Language?
*
English
Spanish
Farsi
Dari
Hmong
Other:
Do you speak/understand other language(s)?
*
English
Spanish
Farsi
Dari
Hmong
None
Other:
Required
Which Organization referred you? Or how did you hear about our program?
*
Your answer
How engaged are you when it comes to advocating for your child(ren)/family/community?
*
Very engaged.
Somewhat engaged.
I'm not sure how to engage.
I'm not sure what it means to be an advocate.
If you are engaged, in what ways are you advocating for your child(ren)/family/community?
Your answer
In which learning opportunity would you be most interested in? Select all that apply.
*
Online Self-paced Learning
Virtual Workshops
In-Person Workshops
Local Leadership Academies
Required
I would like more information about the FAM-Net and the Online Academy for Community Action.
*
Yes!
Not at this time.
I would like to receive FAM-Net and Community Connections updates!
*
Send me text messages.
Send me emails.
Not at this time.
Required
Connect me with the Organizational Hubs.
*
Yes.
Not at this time.
By entering my name below, I understand that I am sharing my information with FAM-Net, a Lead4Tomorrow Program, and partnering agencies.
*
Your answer
Send me a copy of my responses.
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