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Count Me In!
Register to be part of the Fostering Family Leaders Program.
Registrarse para ser parte del programa cultivando lideres de familia
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Email
*
Your email
Enter your First and Last Name
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Your answer
Enter today's date
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MM
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DD
/
YYYY
Please enter your street address
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Your answer
Please enter the city
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Your answer
Please enter your zip code
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Your answer
Please enter your county of residence
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Your answer
Please enter your phone number
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Use (123)123-1234 format.
Your answer
Is this a cell phone number?
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Yes
No
What is the best way to contact you?
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Choose
Call
Text
Email
Please list the name(s) and age(s) of your child(ren)
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Your answer
Who invited you to the FFL program?
*
Please select one partner from the list below. If you are unsure, please speak with whoever mentioned this program to you.
Choose
Black Child Development Institute - Atlanta (BCDI-Powerup)
Brown Middle School and/or Washington Cluster (APS)
Clarkston High School (DeKalb County School System)
Communities in Schools of Douglas County (Douglas County School System)
Fathers Incorporated
Families First
Finch Elementary School (APS)
Hutchinson Elementary School (APS)
Los Ninos Primero
Which day(s) works best for you? Check all that apply.
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Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Required
What time frame works best for you? Check all that apply.
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Morning
Afternoon
Evening
Required
What device will you use to participate in the Virtual FFL program?
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Laptop
Chromebook
Cell Phone
Tablet
Other
Required
What is your primary language?
*
Choose
English
Spanish
Other
Do you need translation services?
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Yes
No
Are you willing to mentor a new parent leader after you graduate from this training?
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Yes
No
Can you commit to participating in all 10 sessions and any follow up-focus groups?
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Yes
No
How are you involved in your child’s early learning program, school or community?
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Your answer
What are the issues that interest you most about your child’s early learning program or school?
*
Your answer
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