Parent Advisory Committee Application

The Early Learning Coalition of Northwest Florida would like to invite you to participate in a committee that will serve as an avenue to share your thoughts, feelings, concerns, and unique family needs. This committee, the PAC, will meet at a minimum of once every three months to discuss the needs of the families in our 7-county service area. The PAC is open to any parent or community member who is willing to provide feedback and input into what the Coalition is doing well and what can be improved upon.

If you would like to participate in the 2021-2022 PAC, please complete the form below. If you have any questions regarding the PAC, please contact kimberly.mickey@elcnwf.org

Question Title

* 1. Please share the best way(s) we can contact you about Parent Advisory Committee meetings.

Name

Email Address

Phone Number

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* 2. Can we text you?

Yes

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* 3. What county do you currently live in?

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* 4. Please share the age ranges for all children currently in your home, or care.

0-3

4-5

6-8

9-13

14-18

Unborn/Expecting

Parent Advisory Committee Application

Question Title

* 1. Please share the best way(s) we can contact you about Parent Advisory Committee meetings.

Question Title

* 2. Can we text you?

Question Title

* 3. What county do you currently live in?

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* 4. Please share the age ranges for all children currently in your home, or care.

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* 5. Please share the best days of the week and times for us to schedule the first PAC meeting.

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* 6. Please use the box below to share any other information that you feel the Coalition needs to know regarding your participation in the PAC.