Community Animator: One-to-One Support Pilot Project

Provide some information about the Centre you are requesting support for, and the Primary Contact for the centre.

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* 1. Name

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* 2. Email

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* 3. Organization / Site Name

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* 4. Where is your organization located?

London Organization

Middlesex Organization

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* 5. Who is your All Kids Belong (AKB) Resource Consultant?

Request Details

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* 6. Please indicate why you are interested in this pilot project. What areas of support are you seeking?

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* 7. Which of the following areas of support are related to your request?

Planning and Creating Environments

Responsive Adult-Child Relationships

Onboarding Support

How Does Learning Happen?

Diversity, Equity, Inclusion, & Belonging (DEIB)

Other (please specify)

Acknowledgment

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* 8. Thank you for your interest and for taking the time to complete this survey. Due to capacity, only selected participants will be contacted for a follow-up discovery call. This call will focus on discussing alignment, expectations, and next steps prior to beginning Pilot enrollment.

Please check the box below to confirm that you understand and acknowledge this process:

I acknowledge and consent that I may be contacted for a follow-up discovery call based on selection criteria