CACY Partner Engagement Survey

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Section 1: Basic Information

CACY’s mission is to empower caregiving youth and their families through heart centered education, advocacy, support and collaboration.

CACY’s Four Pillars are: 1) Empowerment through Education 2) Voices of Caregiving Youth 3) Building Alliances for Impact 4) Advocacy in Action

Name

Organization

What is the mission of your Organization?

What is your position/role in your organization?

Phone Number

How did you hear about the Colorado Alliance for Caregiving Youth (CACY)?

Referral from a partner organization

Social media

Direct outreach

Other:

Clear selection

Section 2: Experience with Youth Programs

If your organization supports youth, what age group(s) do you primarily serve?

Elementary (5-11 years)

Middle School (12-14 years)

High School (15-18 years)

Other:

What specific types of support or services do you offer to youth? (Check all that apply)

Academic support

Mental health services

Social-emotional learning

Family or caregiver support

Peer mentoring

Other:

Have you worked with youth who are also caregivers?

yes

not sure

Clear selection

Section 3: Alignment with CACY’s Mission

Which of the following areas align with your organization’s goals or priorities? (Check all that apply)

Supporting youth mental health

Reducing family caregiving burden

Empowering youth through education and advocacy

Building community alliances

What strengths, skills, or resources could your organization contribute to CACY’s efforts?
(Open-ended)

What do you see as the biggest challenges faced by caregiving youth?
(Open-ended)

Section 4: Collaboration and Involvement

How would your organization be interested in contributing to CACY’s efforts? (Check all that apply)

Program development or delivery

Advocacy and policy work

Financial or in-kind sponsorship

Data collection or research

Community outreach

Other:

Would your organization be interested in attending future planning meetings or forums?

yes

maybe

Clear selection

Please share other organizations you would recommend to participate in this effort.

Section 5: Final Thoughts

What is one idea or suggestion you have for addressing the needs of caregiving youth?
(Open-ended)

Is there anything else you’d like to share with us?
(Open-ended)

Send me a copy of my responses.

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