Census 2020 - Solano Kids Count Survey

1.Participation Form for Organizations

Name

Company

Address

Address 2

City/Town

State/Province

ZIP/Postal Code

Email Address

Phone Number

2.Yes, Count Us In! We will spread the word about the importance of counting all kids by: (Please mark all that apply)

3.How many families will your organization be able to reach with these efforts(approximately)

4.Please indicate the foreign languages your staff and/or volunteers speak:

Spanish

Tagalog

Other (please specify)

5.Do you have a specific project in mind but need funding to make it happen?

Yes, we have a specific project/event we would like host

No, we would like to volunteer

Thank you for joining the campaign! Together, Lets ensure that all children in Solano are counted

By participating in this campaign, your organization may qualify to apply* for a small grant to support community education and engagement efforts related to the Census 2020.

Please send the completed participation form by December 1st, 2019 to: eerickson@childnet.org
Children's Network of Solano County | Solano Kids Count Campaign
827 Missouri Street, Suite 5. Fairfield, CA 94533
Phone:(707)421-7229 x 110

*small grants will be available for selected child care providers, Family Resource Centers (FRCs), and grassroots group

Census 2020 - Solano Kids Count

Census 2020 Awareness CampaignOctober 2019 - May 2020

Census 2020 Awareness Campaign
October 2019 - May 2020