Monthly Family Wellbeing Resource Fairs: Agency Survey
This survey will provide us with information on your agency for our MONTHLY Family Wellbeing Resource Fairs! Your agency info will also be added to the RCCMHC website and Community Bulletin Boards.

Wednesday, October 21st: 6:00-7:30pm
Tuesday, November 17th: 10:30am-1:00pm
Tuesday, December 15th, 3:00-4:30pm **Please note: our resource fair was originally scheduled for Thursday, December 17th. Due to unforeseen circumstances, we had to change the date of the resource fair.

Please contact Holly Brabeck, Director of Family & Community Engagement at RCCMHC, with questions and/or concerns. Email: | Cell: 763-339-7628

Sponsored by Ramsey County Children's Mental Health Collaborative (RCCMHC) and Suburban Ramsey Family Collaborative (SRFC)
Name of your Organization *
Agency phone number (for families)
Agency email (for families)
Which of the following services does your organization provide? Please check all that apply.
Which ages does your agency serve? (please select all that apply):
In what languages are services provided?
What Geographic Area do you serve?
Do you offer services on nights and/or weekends?
Do you offer sliding scale fees for services?
Anything else clients may want to know about your organization?
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy