Parent Involvement Request Form
If you are requesting assistance in finding parents to partner with you on local activities/councils/committees working for the betterment of children's mental health issues or are interested in improving your parent involvement please complete this form. If you have questions feel free to reach out to us at
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Email *
First name *
Last name *
Title *
Organization Name *
Contact phone # and time restrictions (for instance if you are only available on certain days or times).
Zip Code *
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. *
What is the purpose of this meeting or project? Be as specific as possible. *
What are the anticipated outcomes or deliverables you would like to achieve from this project? *
How many parents are you looking for? *
Where/how will your meeting(s) take place? *
How often will your meetings be held and how long do they last? *
Can parents bring their child(ren) or is child care provided or reimbursed? Please provide details below. *
Will parents be required to work on issues/ideas/plans/etc outside of the meetings? *
How will parents be compensated for their time and expertise? *
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 *
How long do you anticipate this work to take? *
Is there anything else you would like us to know? *
A copy of your responses will be emailed to the address you provided.
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