Help Me Grow Materials Order Form

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Help Me Grow Materials Order Form

Help Me Grow Alameda County now has printed material available to providers and families. You can place a request now by filling out the information required below indicating which item you would like to order and number of copies in which language.

The following items are available:

Help Me Grow Adverse Childhood Experiences (ACEs) Postcard (Eng, Spa, Chi, Viet, Arabic)

Help Me Grow Postcard (Eng, Spa, Chi)

Development Screening Program Postcard (Eng, Spa, Chi, Viet, Arabic)

12 Things You Can Do To Help Your Child Succeed in School and Beyond
(Eng, Spa, Chi, Viet, Tagalog)

Help Me Grow Developmental Screening Program (Eng, Spa, Chi)

Help Me Grow Family Brochure (Eng, Spa, Chi)

Help Me Grow full color, single-sided poster (Eng,Spa)

Sign in to Google to save your progress. Learn more

Help Me Grow Materials Order Form

Organization Name *

Email Address *

First Name *

Last Name *

Street Address *

Unit

City *

Zip Code *

Please Check Your Organization Type: *

Child Care Program

Community Based Organization

County Agency

Public Agency

School (any K-12)

Hospital

Health Care Clinic/Practice

Resource and Referral Agency

Public Health Nursing/Home Visiting

Other:

The Help Me Grow Adverse Childhood Experiences (ACEs) postcard is a full-color, double-sided postcard that explores the impact of ACEs and trauma on a child, the role of the parent, and how a referral to Help Me Grow can help support the family experiencing stress. Designed to be provided to a family after completing an ACEs screening.

English: ACEs Postcard

Please enter the quantity of copies you are requesting.

Arabic: ACEs Postcard

Please enter the quantity of copies you are requesting.

Chinese: ACEs Postcard

Please enter the quantity of copies you are requesting.

Spanish: ACEs Postcard

Please enter the quantity of copies you are requesting.

Vietnamese: ACEs Postcard

Please enter the quantity of copies you are requesting.

English/Spanish: Developmental Screening Program Postcard

Please enter the quantity of copies you are requesting.

English/Chinese: Developmental Screening Program Postcard

Please enter the quantity of copies you are requesting.

From Whining to Walking Postcard

Please enter the quantity of copies you are requesting.

De los Quejidos a los Pasos Postcard

Please enter the quantity of copies you are requesting.

From Tantrums to Talking Postcard

Please enter the quantity of copies you are requesting.

De Los Berrinches al Habla Postcard

Please enter the quantity of copies you are requesting.

From Crying to Cuddling Postcard

Please enter the quantity of copies you are requesting.

Del Llanto a los Abrazos Postcard

Please enter the quantity of copies you are requesting.

Help Me Grow Chinese Postcard

Please enter the quantity of copies you are requesting.

Help Me Grow postcard is a full color, double-sided postcard that briefly outlines the services provided by our phone line and resources family can find on our website, www.helpmegrowalameda.org.

English: COVID-19 Family Support

Please enter the quantity of copies you are requesting.

Chinese: 新冠狀病毒家庭支援

Please enter the quantity of copies you are requesting.

12 Things You Can Do To Help Your Child Succeed in School and Beyond is an 12 page, full color booklets available in 5 languages highlighting important tips for parents along with contact information for Help Me Grow. (This booklet has been revised and replaces the former booklet 12 Things Every Child Needs for the Best Start in Life.

English: 12 Things You Can Do To Help Your Child Succeed in School and Beyond

Please enter the quantity of copies you are requesting.

Spanish: 12 Things You Can Do To Help Your Child Succeed in School and Beyond

Please enter the quantity of copies you are requesting.

Chinese: 12 Things You Can Do To Help Your Child Succeed in School and Beyond

Please enter the quantity of copies you are requesting.

Vietnamese: English: 12 Things You Can Do To Help Your Child Succeed in School and Beyond

Please enter the quantity of copies you are requesting.

Tagalog: English: 12 Things You Can Do To Help Your Child Succeed in School and Beyond

Please enter the quantity of copies you are requesting.

Help Me Grow Developmental Screening Program is a full color tri-fold enrollment brochure available in three languages that offers a confidential program to support your child’s development.

English: Developmental Screening Program Brochure

Please enter the quantity of copies you are requesting.

Spanish: Developmental Screening Program Brochure

Please enter the quantity of copies you are requesting.

Chinese: Developmental Screening Program Brochure

Please enter the quantity of copies you are requesting.

Help Me Grow Family brochure is a full color bi-fold brochure available in English and Spanish. The brochure highlights your child's early years with many developmental milestones for how he or she plays, learns, speaks, and acts. Also, included is information on how to connect with Help Me Grow.

English: Help Me Grow Family Brochure

Please enter the quantity of copies you are requesting.

Spanish: Help Me Grow Family Brochure

Please enter the quantity of copies you are requesting.

Chinese: Help Me Grow Family Brochure

Please enter the quantity of copies you are requesting.

English: Poster From Whining to Walking

Please enter the quantity of copies you are requesting.

Spanish: Poster De los quejidos a los pasos

Please enter the quantity of copies you are requesting.

Help Me Grow full color, single-sided poster that briefly outlines the services provided by our phone line and resources family can find on our website, www.helpmegrowalameda.org.

English: Poster From Tantrums to Talking

Please enter the quantity of copies you are requesting.

Spanish: Poster De los berrinches al habla

Please enter the quantity of copies you are requesting.

English: Poster From Crying to Cuddling

Please enter the quantity of copies you are requesting.

Spanish: Poster Del llanto a los abrazos

Please enter the quantity of copies you are requesting.

English: ACEs Stressbuster Poster

Please enter the quantity of copies you are requesting.

Spanish: ACEs Stressbuster Poster

Please enter the quantity of copies you are requesting.

Chinese: ACEs Stressbuster Poster

Please enter the quantity of copies you are requesting.

Korean: ACEs Stressbuster Poster

Please enter the quantity of copies you are requesting.

Submit

Clear form

Never submit passwords through Google Forms.

This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy