Request to Participate

Cities or counties interested in preparing for and attending the Ready by 21 Institute should complete this brief application and are required to submit a letter of support from their mayor or county executive via email to Hannah at hannah@forumfyi.org. The deadline for the application and letter *has been extended to May 8, 2013* (previously, May 3).

Please fill out the application below. If you need to exit the survey and return to it at a later date, please make sure that the cookies setting on your computer is on medium security. You will not be able to return to the survey if your computer's cookies have a high security setting. Alternatively, you can submit your application via email. If you'd like an application in Word, please email Hannah at hannah@forumfyi.org.

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* 1. Contact Information:

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* 2. Teams should have at least five members and no more than eight. Please identify which entities are potentially team members (check all that apply):

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* 3. Please provide brief, but specific responses to the following questions. All answers should be 200-300 words.

Describe your role in your community, and the role of the 3-5 other leaders you would like to join you in the process:

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* 4. Why are you interested in bringing Ready by 21 tools and strategies to your community?

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* 5. Describe any progress your city or county has made collaborating for children and youth.

In addition to your responses above, please provide a letter of support from the mayor and/or the county executive. Please email the letter to Hannah Lythe at hannah@forumfyi.org.

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