Arkansas Fatherhood Powerful Conversations Planning Survey

Project Overview: Hello Arkansas Fathers! The HSSCO is proud to present “Powerful Conversations with Fathers” summits beginning in February, 2022! Please help us plan for this virtual event by taking just a few minutes to complete the fatherhood survey below. All information in this fatherhood survey will be used to plan and implement this dynamic event. You have a voice, therefore, please feel free to share your thoughts and ideas in the “Comment” section of this survey. We want these summits to benefit you as a father. So please let us hear from you!

Instructions: Please complete the following fatherhood survey by answering the following questions.

1.Name: (Optional)

2.Please list the name of your child's Early Childhood Education Program and the city that it is located in.

Program

Location

4.Which Age Group does your child/children belong in? If you have more than one child, please place a number after each of the selections showing how many children in each category.

Birth to 2 Years {Infants and Toddlers}

3-5 Years {Pre-schoolers}

6-8 Years {School Aged}

6.In looking at fatherhood engagement, what statewide activities would you like to see in different areas of the state?

7.Would you be interested in serving as a mentor trainer in the state of Arkansas? Your paid role would be to work with youth (11th and 12th grade) who have babies in the school districts.

Yes

No

If yes, include phone number and e-mail:

8.Please feel free to share any additional comments:

Please submit no later than Friday, October 22, 2021.
Electronically: https://www.surveymonkey.com/r/arfpcps
Or send in a hard copy to:
Arkansas Fatherhood and Family Initiative
1400 West Markham, Ste 406
Little Rock, AR 72201

For More Information, Please Contact:

Cecil McDonald, Fatherhood President at 870-776-1054

mrcmcdonald@gmail.com

Or

Jacqualine Govan, Fatherhood Advisor at 501-371-0740

Jackie.govan@arheadstart.org

HSSCO - JG