Families With Young Children Professionals Community of Practice - Interest Form

Thank you for your interest in attending CJP’s Families With Young Children Professionals Community of Practice 2021-22. Please fill out this survey to register.
Zoom Link to Follow

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* 1. Will you be participating in CJP’s Families With Young Children Community of Practice 2021-22?

Yes

No

Other (please specify)

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* 2. Your contact info:

Name

Job Title

Organization

Address

City/Town

ZIP/Postal Code

Email Address

Phone Number

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* 3. Please tell us you pronouns

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* 4. Provide a brief summary of the work your position encompasses.

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* 5. What is your greatest challenge going into this year?

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* 6. What do you hope to achieve in your work this year? What are your priorites and goals?

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* 7. What expertise could you share? What are you most hoping to learn?

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* 8. Please include the name and email address of other individuals from your organization who may participate:

Participant 2

Participant 3