Contact_Form for Our Survey Project Team
This Project is a means to collect information of the Survey Program for Families that have been involved with the Child Protective AGENCY and/or other conflicts that occur within our Families..ie Relatives, Non-Relative, etc. The primary purpose is to collect and organize the many concerns that exist between Our Families and; the Government or related agencies. Too many times we are not prepared, and too many times, for those involved in the Legislative Process do not have Proof to present. Hopefully, this will be a means to gather the Proof needed. In advance, Thanks for your interest in joining our Survey Team.
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Your State
We could have made a National Survey. However, each state when it comes to the Child Protection AGENCY is the Power of influence.
Your County
Within Many States the County is the Power of influence
eMail address
Distribution of Information- We realize that there is Too much email. Hopefully, this will Tailor your interests?
Most information will be sent as an email. Look for "Survey Project" in the Subject line. I would like to become involved with the Survey Project by being/or:
Clear selection
Group/Individual
List your Group or Individual. Please note, need only to list your FIRST name. Your LAST name is optional
Title of Group or Individual
Primary Purpose of Your Group
There are hundreds of Groups. However, many groups have a Primary Objective. Please list yours so we can tailor the information you recieve. However, if you are interested in ALL phases of the survey, simply answer ALL.
Talents, Interests, etc. of the Individual
We, as a group, are taking the "Team" approach. In doing this, we hope to share this project with as many individuals as possible. Therefore, if you have some talents that may be helpful, please check all that apply. In “Other” List additional interests. publications, etc. (Check ALL that apply)
Your Main Web Address
We are developing certain web pages to go with the Survey Project. If you would like to use these pages, please let us know and we will be more than happy to share with your keeper of your web files.
Optional-Street Address
Although, currently not in our plan, we may occasionally send a hardcopy of related information.
Optional-ZIP
Optional: Phone Number
Note whether it is a cell, home phone, fax, etc.
Additional Comments
We thank you for taking the time to fill out this Contact Form. All information is CONFIDENTIAL and will only be used by AUTHORIZED members of this team. We firmly believe that Reform starts from the Bottom up and NOT the Top Down. Many thanks for being that "One Small Voice", since it can make a World of Difference. Enjoy your day
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