CFI Consultation Form

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Email *

First & Last Name *

Preferred Contact Number *

What is your Zip Code? *

Which of the following best describes you? *

Mother with child under the age of 36 months or pregnant

Father with child under the age of 36 months or is expecting

Pregnant mother interested in learning about childbirth education

Pregnant mother interested in learning about the adoption process

Adoptive Parents interested in learning about the adoption process

Adoptive Parents interested in learning about support services

Other:

How did you hear about Children and Family Institute *

Facebook or Social Media

Through a Friend

Through a CFI Mentor

A CFI Outreach Event

A CFI Flier or Card

CFI Website

Other

What topics would be of interest to you? *

Parenting Classes: including potty training, baby health and safety, & healthy discipline

Life Skills Classes: financial classes, interview skills, nutrition, & personal development

One-on-One Mentoring

Help finding resources in my community

Childbirth Education Services

Learning about the adoption process

Learning about my options and planning for my unborn child

Other

Required

What is the best time to contact you? *

Morning: between 8am-10:30am

Lunch Timeframe: between 11am-12:45pm

Early Afternoon: between 1:30pm-3:45pm

Early Evening: between 4:30pm-5:45pm

Anytime is fine

Required

Thank you for taking the time to complete the CFI Discovery Form. Our staff will review and follow up accordingly to assist. Have a wonderful day!

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