Family and Parent Leader Opportunity

Thank you for your interest in collaborating with family and parent leaders to ensure that their voices and experiences are centered in the way that you work. Completing this form will ensure that you are matched with individuals that best fit your organization's needs.

If you have posted previously, we will use this information to update your account

For questions, please email - fpl@ecic4kids.org

Organization Details

Please tell us about your organization. If you have posted previously, we will use this information to find your account.

Organization Name

Main Phone Number

Organization Website

Address

City

State

5 digit Zip Code

MI County

NC County

Organization Type

Organization Type - Other

Is your organization currently partnering with family and parent leaders? (This information is being collected for internal purposes only and will not impact your ability to post.)

YesNo

If yes, please provide two brief examples of ways in which you have worked with parent leaders. (250 word limit)

250 words remaining

Primary Contact Details

Please tell us about the primary contact for your organization and the position. We will use this information to discover any existing contact in our database.

First Name

Last Name

Main Phone Number

Email Address