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Solid Roots Nourishing the Connections Cohort Program Registration Form

Solid Roots Nourishing the Connections Cohort Program Registration Form

Hello! Thank your interest in the Nourishing the Connections Cohort Program.
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    Program Overview
    To build, two must connect - We crafted our program, “Nourishing the Connections,” to foster the growth of connections between mother and child, within families, and into the broader community. Each offering is curated to establish guidance from the lens of those whose experiences and stories can align with yours. Throughout the cohort, you will have the opportunity to build relationships as you explore another view of parenting development and see how it can unfold and reform in various areas of your life. We aim to serve women recently* incarcerated or have an active or recently* closed CPS case.

    *recently is categorized as within the last year

    Topics Include

    • Agricultural Development (Farming and Gardening)
    • Life Mapping with Financial Literacy
    • Housing
    • Storytelling with our Elders
    • Education 
    • Career Exploration through Self-Awareness Cultivation
    • Mental, Physical, and Spiritual Wellness
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    Please Select
    • Please Select
    • Afghanistan
    • Albania
    • Algeria
    • American Samoa
    • Andorra
    • Angola
    • Anguilla
    • Antigua and Barbuda
    • Argentina
    • Armenia
    • Aruba
    • Australia
    • Austria
    • Azerbaijan
    • The Bahamas
    • Bahrain
    • Bangladesh
    • Barbados
    • Belarus
    • Belgium
    • Belize
    • Benin
    • Bermuda
    • Bhutan
    • Bolivia
    • Bosnia and Herzegovina
    • Botswana
    • Brazil
    • Brunei
    • Bulgaria
    • Burkina Faso
    • Burundi
    • Cambodia
    • Cameroon
    • Canada
    • Cape Verde
    • Cayman Islands
    • Central African Republic
    • Chad
    • Chile
    • China
    • Christmas Island
    • Cocos (Keeling) Islands
    • Colombia
    • Comoros
    • Congo
    • Cook Islands
    • Costa Rica
    • Cote d'Ivoire
    • Croatia
    • Cuba
    • Curaçao
    • Cyprus
    • Czech Republic
    • Democratic Republic of the Congo
    • Denmark
    • Djibouti
    • Dominica
    • Dominican Republic
    • Ecuador
    • Egypt
    • El Salvador
    • Equatorial Guinea
    • Eritrea
    • Estonia
    • Ethiopia
    • Falkland Islands
    • Faroe Islands
    • Fiji
    • Finland
    • France
    • French Polynesia
    • Gabon
    • The Gambia
    • Georgia
    • Germany
    • Ghana
    • Gibraltar
    • Greece
    • Greenland
    • Grenada
    • Guadeloupe
    • Guam
    • Guatemala
    • Guernsey
    • Guinea
    • Guinea-Bissau
    • Guyana
    • Haiti
    • Honduras
    • Hong Kong
    • Hungary
    • Iceland
    • India
    • Indonesia
    • Iran
    • Iraq
    • Ireland
    • Israel
    • Italy
    • Jamaica
    • Japan
    • Jersey
    • Jordan
    • Kazakhstan
    • Kenya
    • Kiribati
    • North Korea
    • South Korea
    • Kosovo
    • Kuwait
    • Kyrgyzstan
    • Laos
    • Latvia
    • Lebanon
    • Lesotho
    • Liberia
    • Libya
    • Liechtenstein
    • Lithuania
    • Luxembourg
    • Macau
    • Macedonia
    • Madagascar
    • Malawi
    • Malaysia
    • Maldives
    • Mali
    • Malta
    • Marshall Islands
    • Martinique
    • Mauritania
    • Mauritius
    • Mayotte
    • Mexico
    • Micronesia
    • Moldova
    • Monaco
    • Mongolia
    • Montenegro
    • Montserrat
    • Morocco
    • Mozambique
    • Myanmar
    • Nagorno-Karabakh
    • Namibia
    • Nauru
    • Nepal
    • Netherlands
    • Netherlands Antilles
    • New Caledonia
    • New Zealand
    • Nicaragua
    • Niger
    • Nigeria
    • Niue
    • Norfolk Island
    • Turkish Republic of Northern Cyprus
    • Northern Mariana
    • Norway
    • Oman
    • Pakistan
    • Palau
    • Palestine
    • Panama
    • Papua New Guinea
    • Paraguay
    • Peru
    • Philippines
    • Pitcairn Islands
    • Poland
    • Portugal
    • Puerto Rico
    • Qatar
    • Republic of the Congo
    • Romania
    • Russia
    • Rwanda
    • Saint Barthelemy
    • Saint Helena
    • Saint Kitts and Nevis
    • Saint Lucia
    • Saint Martin
    • Saint Pierre and Miquelon
    • Saint Vincent and the Grenadines
    • Samoa
    • San Marino
    • Sao Tome and Principe
    • Saudi Arabia
    • Senegal
    • Serbia
    • Seychelles
    • Sierra Leone
    • Singapore
    • Slovakia
    • Slovenia
    • Solomon Islands
    • Somalia
    • Somaliland
    • South Africa
    • South Ossetia
    • South Sudan
    • Spain
    • Sri Lanka
    • Sudan
    • Suriname
    • Svalbard
    • eSwatini
    • Sweden
    • Switzerland
    • Syria
    • Taiwan
    • Tajikistan
    • Tanzania
    • Thailand
    • Timor-Leste
    • Togo
    • Tokelau
    • Tonga
    • Transnistria Pridnestrovie
    • Trinidad and Tobago
    • Tristan da Cunha
    • Tunisia
    • Turkey
    • Turkmenistan
    • Turks and Caicos Islands
    • Tuvalu
    • Uganda
    • Ukraine
    • United Arab Emirates
    • United Kingdom
    • United States
    • Uruguay
    • Uzbekistan
    • Vanuatu
    • Vatican City
    • Venezuela
    • Vietnam
    • British Virgin Islands
    • Isle of Man
    • US Virgin Islands
    • Wallis and Futuna
    • Western Sahara
    • Yemen
    • Zambia
    • Zimbabwe
    • Other
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    Please note this can include public transportation.
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    This number should be inclusive to the number of children you will bring with you to each session
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    • 5 or more
    • I will not bring any children with me due to the current custody status.
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    Use a comma to separate each age.
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    Please select one of the following options regarding media consent:

    Media Release Consent:


    YES — I give permission for Solid Roots, its partners, and affiliates to photograph, videotape, and/or record my child(ren) during the program. I understand that these images, videos, or audio recordings may be used for:

    • Promotional and outreach materials
    • Social media platforms
    • Grant reporting
    • Website content
    • Internal documentation


    I acknowledge that mine or my child’s name will not be used in association with their image unless I provide separate written permission.

    NO — I do not give permission for my child(ren) to be photographed, recorded, or included in any promotional media.

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    YES, I give permission for Solid Roots, its partners, and affiliates.
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    Our overall purpose of this program is to:

    (1) Identify disparities impacting African American health arising from cumulative and historical discrimination and disadvantages in multiple systems. These may include, but are not limited to, housing, education, employment, gun violence, incarceration, environmental factors, healthcare discrimination, and
    (2) Develop community-driven solutions incorporating a multisector approach to addressing identified disparities impacting African American health.

    The funds received to support this program are derived from the Minnesota Department of Health's African American Health Special Emphasis Grant. We thank you for your time to complete this submission.

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