Colorado Department of Early Childhood Family Voice Council Interest Form

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Do you have a passion for programs and services that support young children and their families? Do you have ideas about what needs to change to better support young children and their families? Share your ideas and help make services better for your community!

The Colorado Department of Early Childhood (CDEC) Family Voice Council is a group of parents and guardians of young children birth through eight from across Colorado. The purpose of the council is to provide input in the design and delivery of early childhood programs and services that meet the needs of children and families in Colorado. Council members come together monthly to learn, provide input and ultimately improve services for children and families.

How will your feedback actually be heard and used?
At each meeting, staff from the Department of Early Childhood and other early childhood organizations and agencies will ask your opinion on important topics and issues, collect your feedback and then report back to you how your specific feedback is being used.

Thank you for taking the time to complete this interest form! We will be contacting you to follow-up. Please note that membership is a one-year commitment.

Please reach out to Amanda Culbertson at amanda.culbertson@state.co.us if you have accessibility issues with this form.
Updated June 2024

Name *

Date *

YYYY

Email Address *

Phone Number *

City of Residence *

Please use the space below to self- describe your race/ethnicity. For example: American Indian or Alaska Native, Asian, Black or African American, Latino, Native Hawaiian or Other Pacific Islander, White, etc.

Please use your the space below to self-describe how you identify your gender.

I currently parent or care for a child(ren) aged: *

Currently pregnant or expecting a child through adoption or foster

Birth- 1 year

1- 2 years old

2- 3 years old

3-5 years old

5-8 years old

Older than 8

Other:

Required

My relationship to the child(ren) is: *

Parent or Guardian

Foster parent

Kinship care provider

Grandparent

Aunt or Uncle

Sibling

Other:

Required

Which of these services have you or your family used? Select all that apply. *

Not Applicable

Colorado Child Care Assistance Program (CCCAP)

Early Intervention Services (EI)

Preschool Special Education Program

Individualized Education Program (IEP)

Home Visitation Program (such as Healthy Steps for Young Children, Home Instruction for Parents of Preschool Youngsters (HIPPY), Nurse-Family Partnership, Parents as Teachers (PAT), SafeCare)

Family Resource Center

Parenting Class

Head Start/ Early Head Start

Mental/ Behavioral Health Supports

Child Care/Preschool

Prenatal/ Pregnancy-Related Supports

Other:

Required

What do you hope to achieve by becoming a member of the CDEC Family Voice Council? *

What are your concerns about joining the CDEC Family Voice Council? *

We want to honor an individuals’ right to speak the language they are most comfortable in and participate fully in their preferred language. Please tell us the language you'd prefer to participate in and accommodations will be made. *

American Sign Language

Spanish

Arabic

English

Dari

Somali

Burmese

Russian

Other:

Required

Will you need auxiliary aids to join the Council meetings?

Appropriate auxiliary aids and services for individuals with hearing loss.

Appropriate auxiliary aids and services for individuals who are blind or have low vision.

Other:

Any other additional information you would like to share?

Submit

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