Greetings and thanks for your interest in the development of a Future Child Advocates student organization/club at your college or university. We are interested in encouraging higher education schools to "get involved" in child advocacy in a more substantial way and to collaborate more formally with the community efforts in this area. We will be back in touch once we understand where you are in the process. Be sure you have reviewed the Information Sheet BEFORE completing this survey. WE LOOK FORWARD TO HELPING YOU IF WE CAN!

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* 1. What is today's Date?

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* 2. Have you reviewed the  FCA Information Sheet 2016  ?

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* 3. Which FCA student club are you interested in pursuing at your College/University?

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* 4. Are you interested in developing an FCA Club/Affiliate for...

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* 5. Have you identified 3-4 students who are willing to help you get this started on your campus?

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* 6. Have you identified a FACULTY ADVISOR who is willing to help you get this started on your campus?

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* 7. Who are YOU and why are you pursuing the development of an FCA Club? ( Be specific if a student, graduation date and major, etc. )

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* 8. When are you hoping to begin FCA type of activities on your campus?

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* 9. Where are you in moving forward with establishing an FCA Club/Affiliate on your campus at this time?  (Check ALL that apply.)

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* 10. Let us know how we can CONTACT YOU:

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