Parent involvement request form

1. Tell us about your organization and how we can contact you. *This question is required.

First Name

Last Name

Title

Company Name

Street Address

Apt/Suite/Office

City

State

Zip

Email Address

Phone Number

2. What is it you would like parents to do? Please provide an overview of the work you anticipate your group focusing on.
*Please note when we use the term "Parent" we mean any primary caregiver including; foster parents, grandparents or other family members or adults who are primary caregivers with financial responsibility for the child or children. *This question is required.

3. What is the purpose of this meeting or project? Be as specific as possible. *This question is required.

4. What are the anticipated outcomes or deliverables you would like to achieve from this project? *This question is required.

5. How many parents are you looking for? *This question is required. This question requires a valid number format.

6. Where will your meeting(s) take place? *This question is required.

7. How often will your meetings be held and how long do they last? *This question is required.

8. Can parents bring their child(ren) or is child care provided or reimbursed? Please provide details below. *This question is required.

9. Will parents be required to work on issues/ideas/plans/etc outside of the meetings? *This question is required.

10. How will parents be compensated for their time and expertise? *This question is required.

11. Have you developed the necessary internal procedures that might be needed to work with parents? Guidelines for participation, background or skills necessary for participation, orientation, conflict of interest policy, etc. *We can help you create these procedures if you would like. Be sure to indicate your request in your answer. *This question is required.

12. How long do you anticipate this work to take? *This question is required.

13. Is there anything else you would like us to know? *This question is required.