COVID-19 Story Collection Form
Thank you for your interest in making the case for additional support for children and families dealing with the challenges of COVID-19. We know this pandemic is incredibly difficult for many families, and we want to help system leaders and policymakers become aware of the struggles families are facing.
Specifically, we are looking to develop media stories. We've developed this short questionnaire to help you identify a story that you could share with the media. Please fill this form out and an Alliance representative will be in touch with you.
Media stories are usually written in three parts:
Story- key messages
What's Needed / Call to action
The information below will help you craft an op-ed or a story for submission to a news or media outlet. We can help you in refining and submitting your story to media outlets for publication.
Looking forward to working with you.
Please affirm your interest and willingness to work with our team to develop a story to share with the media.
Yes, I would like to participate and share my story with media.
Name (First and Last)
What is your role?
Other stakeholder/organizational representative
Where do you live? (City)
Where do you live? (State)
Phone Number including area code
Tell Us About You and Your Family!
Please share about you and your families experiences dealing with the challenges of COVID-19.
What are the ages of your children?
Birth to 5
6 - 10
16 - 21
I don't have children
Please indicate whether COVID-19 has affected you and your family in the areas below: (Mark all that apply.)
Education of your children
Employment (including any gig-work or other revenue)
Isolation and/or connections with other people
If applicable, how has COVID-19 affected housing for you and your family.
If applicable, tell us how COVID-19 has affected the education of your child or children.
If applicable, tell us how COVID-19 has affected the well-being of your child or children.
If applicable, tell us how COVID-19 has affected the mental health of you or your family.
If applicable, tell us how COVID-19 has affected you in obtaining food and meeting the basic needs for you or your family.
If applicable, tell us how COVID-19 has affected employment for you or others in the household.
If applicable, tell us how COVID-19 has affected the social life for you and your family.
If applicable, tell us how COVID-19 has affected the physical health of you and your family.
If applicable, tell us how COVID-19 has affected access to services for you and your family.
What do you think system leaders and policymakers should do to help families during this crisis? Here are some examples, or please offer your own ideas:
Increase resources to families- such as help with housing, unemployment benefits, system navigators etc.
Provide emergency money for basic needs
Help families know what community supports are available and improve access to them
Provide more mental health supports
Develop opportunities for families to find peer supports to connect with other parents
Increase supports to community agencies and organizations so they can help more families and children
Ensure families have more opportunities to participate in decisions about their plans with reunification and their case plans
What is your family's greatest need or concern that hasn't been addressed by systems leaders and policymakers in response to COVID-19 so far?
What's one thing you wish your Congressperson should know about why families need more help, especially now?
What (if anything) gives you hope during this crisis?
The Alliance will have someone from our team get in touch with you to talk more with you about your story based on your responses above.
Know you are not alone.
These are difficult days for so many families across the country. Please know you are not alone during this time. Reach out to the people around you- such as your neighbors, your co-workers, friends and others. Keep your connections strong and know we will help you share how this is impacting you and those you love.
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