Site Coordinator Network Member Sign Up Question Title * 1. Name OK Question Title * 2. Email OK Question Title * 3. Phone OK Question Title * 4. City OK Question Title * 5. Region Region 1 – Del Norte, Humboldt, Lake, Mendocino, and Sonoma Counties Region 2 – Butte, Glenn, Lassen, Modoc, Plumas, Shasta, Siskiyou, Tehama, and Trinity Counties Region 3 – Alpine, Colusa, El Dorado, Nevada, Placer, Sacramento, Sierra, Sutter, Yolo, and Yuba Counties Region 4 – Alameda, Contra Costa, Marin, Napa, San Francisco, San Mateo, and Solano Counties Region 5 – Monterey, San Benito, Santa Clara, and Santa Cruz Counties Region 6 – Amador, Calaveras, San Joaquin, Stanislaus, and Tuolumne Counties Region 7 – Fresno, Kings, Madera, Mariposa, Merced, and Tulare Counties Region 8 – Kern, San Luis Obispo, Santa Barbara, and Ventura Counties Region 9 – Imperial, Orange, and San Diego Counties Region 10 – Inyo, Mono, Riverside, and San Bernardino Counties Region 11 – Los Angeles County OK Question Title * 6. Organization OK Question Title * 7. Organization Type School-Based School-Age Child Care School-Based Afterschool Community- Based or Nonprofit Organization Licensed Family Child Care Park and Recreation Faith Based Organization Other (please specify) OK Question Title * 8. Job Title OK Question Title * 9. How long have you been in your role as a site coordinator? OK Question Title * 10. Are you interested in receiving an application for the Action Team and Leadership Team? Yes No OK NEXT
