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Webinar Registration
Engaging Diverse Families in Leadership for Systems Change
April 20, 2017, 3:00-4:30pm ET

ATTENTION: THIS WEBINAR HAS REACHED CAPACITY.
BY SUBMITTING THIS FORM, YOU ARE REGISTERING TO HAVE A RECORDING OF THE WEBINAR EMAILED TO YOU.

Thank you for your interest! Please contact Ashlee Richey, arichey@familyvoices.org, with questions.

Family organizations, professionals, and state and local agencies are increasingly seeking to engage diverse families in leadership to improve systems. This webinar will provide tools and strategies to help organizations and agencies assess and improve agency and staff readiness; identify, recruit, prepare, engage and support diverse family leaders in meaningful leadership roles; recognize family leader contributions; and become an organization more focused on and capable of supporting diverse leadership.

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* 1. Please enter the following information:

Name: *

Organization:

Title:

State: *

Email Address: *

Phone Number: *

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* 2. Please indicate your primary language: (Optional)

English

Spanish

Other:

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* 3. How do you identify your ethniticy/race? Check all that apply. (Optional)

American Indian or Alaskan Native

Asian

Black or African American

Hispanic/Latino

Native Hawaiian or Other Pacific Islander

White

Prefer not to answer

Some other race/ethnicity:

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* 4. Please indicate your primary role in participating in this webinar:

Parent/Family/Family Leader

Youth/Youth Leader

State MCH Agency Staff

Health Provider/Professional

Community-based/Local Organization Staff

Education Provider/Professional

Other (please specify):

Thank you!