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CT Parent Power
Parent Leadership Training Form
Contact Us Contact Us Meriden Children First Initiative 165 Miller Street
Meriden, CT 06450
Tel: 203.630.3566
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Parent Leadership Training Form

The Meriden Children First Initiative (CFI) helps children become ready, willing and able to succeed. CFI works with a variety of community partners to sponsor parent leadership trainings, publish useful research and information, and connect families with community resources.

Tell us about yourself:
(* denotes required fields)
First Name *
         Last Name *
Address
Suite
City
State       Zip
     
Phone *
Fax
Website
Email *

I'm interested in: PLTI
Parents SEE

Will you require childcare? Yes
No
Number of children needing childcare:
Ages:

Will you require transportation? Yes
No

Race / Ethnic Background
WhitePuerto Rican
Black/African AmericanOther Latino
Asian/Pacific IslanderOther: 

What is a good time to discuss your interest in PLTI / ParentSEE? A.M.
P.M. (after 5:30)

What issues/concerns do you have regarding your children and your community?

What skills would you like to learn to become a stronger advocate for your children or community? Why?

How did you hear about PLTI/ParentSEE?
(Select all that apply.)
Newspaper Ad/Story Church Ad/Story
Fair/Event Ad/Story E-mail or Website
Flyer from school
School: 
Picked Up Flyer
From: 
Friend
Name: 
Other Source
Name: 

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