KCELC Involvement Form
To begin the steps in joining KCELC's action team, please fill out the form below.
Name
*
First Name
Last Name
Email
*
example@example.com
Are you a current member or partner of KCELC?
*
Yes
No
Organization Name
Organization Title
Your Relation to Early Learning
*
Guardian/ Parent
Health Provider
Child Care Provider/ Caregiver
Government/ Institutional Role
Educator
Child & Family Serving Organization
School District
Other
Which KCELC Team would you like to join ?
*
Leadership
Action Network
Both
Do you commit to participating in at least 3 monthly coalition meetings and 3 coalition team meetings a year?
Yes
No
Why do you want to join KCELC's Action Teams?
*
Anything else you would like us to know?
Submit Application
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