B3 Workgroup Sign Up Form
Thank you for your interest in joining a B3 workgroup! Please fill out this form if you are interested in participating in one of three workgroups for Building Better Beginnings. Diedra Henry-Spires will contact you to follow up with important details regarding your first meeting. Should you have any questions, please email her directly at fjones@marylandfamilynetwork.org.
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What's your first name? *
What's your last name? *
What's your email address? *
What's your connection to Prenatal to Three work in Maryland (i.e. parent, healthcare provider, childcare provider, teacher, student, researcher, program manager, etc.)? *
Are you able to commit to meeting monthly or bi-monthly for 90 minutes? *
Which workgroup would you like to join? *
Are you interested in co-chairing your selected workgroup?
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What is your preferred meeting time? *
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