SC Family Voice Council Interest Form

The SC Family Voice Council is made up of parents and caregivers of young children ages birth-5 who are currently participating or have participated in state early childhood programs or services. Council members ranging in age, physical ability, race, ethnicity, household income, geographic location, family size, family type and education level come together to share their experiences as parents and caregivers to talk about issues facing young children in our state. Recruitment is ongoing for this dynamic group of family leaders. At monthly meetings, council members hear from a variety of public programs, share thoughtful feedback and ideas to improve services, and hear back on how their voices are making a difference. If you are willing to share your voice, please complete this interest form. We will be contacting you to follow-up. Please reach out to Two-Generation Coordinator Rachal Hatton-Moore at rhatton@scfirststeps.org if you have needs or questions .

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* 1. How can we contact you?

Name

City/Town

ZIP/Postal Code

Email Address

Phone Number

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* 2. May we send you text messages?

Yes

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* 3. May we email you additional parent communications from the Early Childhood Advisory Council and SC First Steps?

Yes

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* 4. How did you hear about the SC Family Voice Council?

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* 5. Are you a parent or caregiver of a young child ages birth-five?

Yes

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* 6. What are the age(s) for your child(ren)? (select all that apply)

0-1 years

1-2 years

2-3 years

3-4 years

4-5 years

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* 7. What is your child's date of birth?

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* 8. Which services have you or your family used?

TANF (Temporary Assistance for Needy Families)

SNAP (Supplemental Nutrition Assistance Program)

WIC (Women, Infants and Children Nutrition Program)

Head Start - School Readiness Program

First Steps 4K - School Readiness Program

Public School 3K or 4K

Early Head Start - School Readiness Program

Child Care Assistance with Department of Social Services Vouchers

Early Intervention Program

Child Welfare Services

Medicaid

Home Visiting Programs

I haven't received or participated in any services or programs.

Other (please specify)

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* 9. Do you have reliable home internet access either through a phone or other device?

Yes

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* 10. Do you have access to transportation to attend in-person meetings in the Columbia area?

Yes

SC Family Voice Council Interest Form

Question Title

* 1. How can we contact you?

Question Title

* 2. May we send you text messages?

Question Title

* 3. May we email you additional parent communications from the Early Childhood Advisory Council and SC First Steps?

Question Title

* 4. How did you hear about the SC Family Voice Council?

Question Title

* 5. Are you a parent or caregiver of a young child ages birth-five?

Question Title

* 6. What are the age(s) for your child(ren)? (select all that apply)

Question Title

* 7. What is your child's date of birth?

Question Title

* 8. Which services have you or your family used?

Question Title

* 9. Do you have reliable home internet access either through a phone or other device?

Question Title

* 10. Do you have access to transportation to attend in-person meetings in the Columbia area?

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* 11. Please tell us in your own words why you would like to serve on the SC Family Voice Council.