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Page 1: COMMUNITY CONNECTIONS GRANTS PROGRAM€¦ · You are the expert of your community. ... we should always assure that our messages are grammatically correct and use punctuation correctly

COMMUNITY CONNECTIONS

GRANTS PROGRAM

ORIENTATION BINDER:

DIGITAL COPY

Page 2: COMMUNITY CONNECTIONS GRANTS PROGRAM€¦ · You are the expert of your community. ... we should always assure that our messages are grammatically correct and use punctuation correctly

CCG

Overview

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CCG Overview

The CCG Program was created to give parents an

opportunity to make a difference in their community.

Your group was selected for CCG because your project…

Includes great community-driven ideas.

You are the expert of your community.

Will build community relationships. These relationships will last much longer than

the term of your project.

Will improve the lives of children ages 0-5.

Focusing on making a difference for young children can improve generations to come!

Getting together with other members in your

community builds lasting relationships that makes a safer and happier place for your children to live.

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Circle of Support

Being a community leader is very important. It is rewarding and it has the

ability to change generations. But it’s not always going to be easy. The best

part about being a part of CCG is that you’re not alone. Your group has a

Circle of Support.

Your Fellow Group Members

Your fellow group members share the same passion to help the community and

young children as you do. There is a reason that First 5 requires at least 3

individuals to be eligible for CCG. It is a group project so no one is working

on this alone.

Who are your group leaders?

______________________________________________________________________________

Sponsoring Agency

Your sponsoring agency offers your group support in many ways, such as offering a space to meet, linking

your group to other resources, or reviewing your progress reports before you submit them. Talk with

your sponsoring agency about how they can help you. However, keep in mind that they are supporting

your group, not leading it. You are the group leader.

Write in your Sponsoring Agency Name and Contact Information:

______________________________________________________________________________

Fiscal Agent

The Child Abuse Prevention Center (CAPC) is your Fiscal Agent and also assists with the program

monitoring of your grant. They can help you with community resources, reporting requirements, and

planning and staying within your budget.

Jennifer Cole- [email protected] / 916-244-1909

Paul Smith- [email protected] 916-244-1928 (Expenses/Payments)

First 5 Sacramento

First 5 can support your group with resources, materials, outreach, and organizing your project ideas so

you have a better outcome for your project. First 5 can also share your program with other First 5

partners.

Alejandra Labrado- [email protected] / 916-876-5873

We all want to see your project succeed. If you get frustrated or overwhelmed, keep your chin

up and call someone from your Circle of Support!

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Activity

Plan

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ACTIVITY PLAN

Setting goals will help your project be successful!

First 5 & CAPC can help you finalize your activity plan. Make sure your goals are SMART!

Specific- Give details! Who? What? When? Where? How?

Measurable- How much? How many?

Achievable- Are you being realistic with your goals?

Relevant- Stay focused on benefiting 0-5 kids!

Time-Frame- Give your group deadlines!

When your Activity Plan is complete- you’re ready to

start your project!

Contact: Alejandra Labrado [email protected] 916-876-5873

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Media

&

Marketing

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MEDIA & MARKETING

Are you creating flyers, marketing materials, or other

items to promote your project?

Give attribution to First 5 Sacramento on all materials

for your project! (See attribution information)

Submit it to First 5 Communications Officer for approval BEFORE you distribute it to the public!

Use Social Media to promote your group!

Promote First 5 programs to your group and your community!

Check out free First 5 materials to support your

project!

Contact: Alejandra Labrado, First 5 916-876-5873, [email protected]

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1 | P a g e F i r s t 5 S a c r a m e n t o - S o c i a l M e d i a G u i d e l i n e s

Internal Social Media Guidelines - Protocol and Procedures

MESSAGING

Always ensure that the message you are delivering is consistent with First 5 Sacramento’s mission and is broken down by: 1. tips, 2. resources, 2. free events/services, and 4. agency awareness.

Always be mindful of our target population. For example, we aim to help all children and families of Sacramento County, but are cognizant that most of the families we reach are low income. Therefore, we should not promote events that are costly or post tips/resources that are not essential to First 5’s mission.

Don’t be negative or critical of other organizations, products, industries, etc.

Use pictures and videos whenever possible.

Human your brand with staff photos/events.

Always credit photos and have legal permission to use photos with children.

BRANDING

Whenever possible, use social media to direct traffic to First 5 Sacramento’s web site.

Promote First 5 Sacramento by 1. Finding and sharing information that is interesting and helpful to our followers, 2. Highlighting Commission meetings through the live stream, and 3. Reports and newsletters. These posts will encourage followers to share with their network.

QUALITY CONTROL

Although social media language is more casual, remember that we are promoting ourselves as a reliable resource for children, including education. To gain trust and confidence, we should always assure that our messages are grammatically correct and use punctuation correctly.

Never put forth opinions or information without attributing them to their source.

Only on rare occasions should we endorse a product or commercial enterprise (movie, books, activity). If we do, the context should be newsworthy, essential to our mission and not cost prohibitive.

TONE

With a varied audience, messaging should provide a hybrid approach of the following:

o When the audience is comprised of stakeholders, politicians, or contractors the tone should be intellectual, news based, news they can use, for themselves or the people they work with.

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2 | P a g e F i r s t 5 S a c r a m e n t o - S o c i a l M e d i a G u i d e l i n e s

o When the audience is comprised of parents the tone should be casual, fun, informative, and energetic.

CONNECTING WITH OUR FOLLOWERS

Respond quickly to questions and concerns.

When the message is positive or if a follower has shared the tip or resource ‘like’ their response.

If something is posted in error, update with the correct information, but don’t delete.

Negative posts or comments should remain on the page to promote discussion. Everyone is entitled to their own opinion, but use discretion. If there is bad language or inappropriate comments, then delete or hide the post.

Don’t respond to hate-speech or negative comments and don’t engage a negative post. Discuss with supervisor.

ENDORSEMENTS

Followers are not allowed to post on First 5 Sacramento to promote their own services or products unless they are another First 5, contractor or the service/event is free.

Do quick research or vetting of any company prior to endorsing them, re-tweeting or liking them.

FACEBOOK

1) To maintain “brand consistency”, the First 5 Sacramento profile picture should remain the “First 5 Sacramento” commission approved logo with the hand image as the thumbnail.

2) If you are posting a link, article, or video from an outside source, and the thumbnail promotes another brand, company, or agency, select “no thumbnail” and add a family/child-friendly picture to accompany it instead.

3) Share information on events and tips especially from our contractors or family-friendly outlets. Do not promote things that are costly.

4) Keep events in the “Events” section. Use the status updates to refer to the “Events” tab, rather than posting all event information as an update. Keep the “events” tab current.

5) The “person” Sac Kids was only created as a formality to run the First 5 Sacramento Fan page. Sac Kids shouldn’t post anything or be Facebook “friends” with others. Others can “like” First 5 Sacramento only.

6) Do not alter the template. Get permission from the supervisor prior to making any design changes.

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3 | P a g e F i r s t 5 S a c r a m e n t o - S o c i a l M e d i a G u i d e l i n e s

TWITTER

1) Monitor activity and re-tweets appropriate content. 2) Acknowledge any feedback on Twitter with a tweet. 3) Incorporate appropriate #hashtags to increase exposure to followers. 4) Periodically add to the following list to increase fan base. 5) Do not alter the template. Get permission from the supervisor prior to making any

design changes.

PINTEREST

1) Create boards that enhance the organization’s mission. 2) Add 3-4 pins to each board per week to keep the content fresh. 3) Periodically add to the following list.

YOU TUBE

1) To upload a new video on YouTube, log-in and select “Upload”. It will prompt you to select a video file from your computer.

2) If possible, select a video thumbnail that displays the last frame of the video which will usually include any contact information to First 5 Sacramento or our funded partner.

3) Use “tags” to increase the site’s search-ability. Examples include: First 5 Sacramento, children, preschool, parent tips, dental, etc.

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First 5 Sacramento Attribution

Include contractor’s logo and attribution blurb on all printed and electronic outreach. Please get prior approval from F5 on all marketing materials before distribution. If your program has multiple streams of funding with several logos, then use the general F5 logo (above) and no attribution blurb.

Contractor’s Logo (revised version)

ENGLISH

Funding for the XX program/project is provided by First 5 Sacramento which uses Proposition 10 (tobacco tax) funds to support the healthy development of children ages 0-5. Visit online at www.first5sacramento.net. SPANISH

Los fondos para el programa / proyecto XX son proporcionados por First 5 Sacramento que utiliza fondos de la Proposición 10 (impuesto sobre el tabaco) para apoyar el desarrollo saludable de los niños de 0-5 años. Visítenos por internet en www.first5sacramento.net

RUSSIAN

Финансирование ХХ програмы/проэкта предоставлено First 5 Sacramento, которая использует средства пропозиции 10 (налог на табачные изделия) для поддержки здорового развития детей от 0 до 5 лет. Посетите нашу страницу в интернете: www.first5sacramento.net

HMONG

Nyiaj txiag tau txais los rau XX program yog muab los ntawm First 5 Sacramento uas yog siv Proposition 10 ( cov nyiaj se sau tau los ntawm muag luam yeeb) yog coj los pab txhawb nqa kev noj qab haus huv thiab loj hlob rau cov me nyuam thaum yug mus txog rau 5 xyoos. Mus saib tau nyob rau ntawm www.first5sacramento.net.

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Event:

Date:

Staff: Return to Erin Maurie, First 5 Sacramento

PHOTO CONSENT AGREEMENT

2750 Gateway Oaks, Suite 330 Sacramento, CA 95833

Attn: Erin Maurie Phone: (916) 876-6684 FAX: (916) 876-5877

I, ________________________________, consent to having me and my child(ren) name, photograph, image, quotes or interviews used for publication in various marketing materials including but not limited to newsletters, annual reports, videos, websites, media broadcasts and presentation displays by First 5 Sacramento Commission, its contractors and the County of Sacramento. I understand that my picture and my child(ren) picture/image may be seen by members of the general public. I understand that I may revoke this consent agreement at any time except when action has already been taken based on this release. NAME OF CHILD BEING PHOTOGRAPHED OR INTERVIEWED: ______________________________________________________ (Please Print) PHONE NUMBER: ___________________________________ EMAIL: ___________________________________ SIGNATURE: ________________________________________________ (Parent/Guardian/Authorized Representative Required If Under 18 Years of Age)

DESCRIPTION OF PHOTO: _______________________________________

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SAMPLE

FLYERS

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Community

Resources

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COMMUNITY RESOURCES

Your group can help spread the word about important resources in your community!

Birth & Beyond Family Resource Centers

Crisis Nurseries

Infant Safe Sleep

Dental Clinics

Medi-Cal

Schools and Libraries

Child Care

WIC (Nutrition and Breastfeeding)

Contact: Jennifer Cole- [email protected] / 916-244-1909

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Resource List

2-1-1

o Get connected to resources & services 24/7 in multiple

languages

Help Me Grow (helpmegrowsac.org)

o Answers questions about how your child is growing, learning,

behaving, and speaking

o For children ages 0-5

o Phone number: (916)822-8744

Birth & Beyond (birth-beyondfrc.com)

o Provide various family-oriented services for free

o Referral phone number: (916)244-1900

Crisis Nursery Program

o Free emergency child care and overnight care for children ages 0-

5

o Phone number (North Sacramento): (916)679-3600

o Phone number (South Sacramento): (916)394-2000

Sac Healthy Baby (sachealthybaby.com)

o Website with resources designed to help soon-to-be and new

parents

CPR with Heart

o Course in life-saving skills such as infant CPR and choking relief

o Phone number: (916)248-3400

Interested in any of these resources? Contact Alejandra at

[email protected] or Jen at [email protected] to request

flyers and handouts!

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Progress

Reports

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PROGRESS REPORT Let us know how your project is going!

Monthly Reports- How’s it going?

Send us pictures (that have consents)

Send us your approved flyers and other materials you’ve created

First 5 and CAPC would like to visit your group

Mid-year site visit

Give us a final report at the end of your project!

Submit your monthly progress reports by the 10th of the following month!

Questions: Jen Cole [email protected] . Submit online: www.first5ccg.com

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First 5 Sacramento Community Grants

Reporting Requirements

Attachment A- The Child Abuse Prevention Center Community Connections Grants

Reporting Requirements

Title: First 5 Community Connections Grants Reporting Requirements

Monthly Reports: Due by the 10th of the month using the online reporting form. Late submittals

may result in a reduction of grant funds.

1. On time submittals

a. Received by the 10th of the month following the reporting month (i.e. January

report is due February 10th).

b. Group leaders who submit monthly reports on time for three consecutive months

will receive a $5 gift card.

c. Group leaders who submit monthly reports on time for six consecutive months

receive a $10 gift card.

2. Late submittals

a. Reports received after the deadline of the 10th without an approved extension will

be considered late.

b. For late reports, funds will not be disbursed until report is submitted. The

Community Engagement VISTA will work with the Lead Accountant at CAPC to

coordinate disbursements of funds once the late report has been received.

c. To request an extension on the monthly report, grantees must have not had more

than 3 late reports in the last 10 months.

d. Extension requests must be submitted to the Community Engagement VISTA by

email before the 10th of the month.

e. If 3 reports have been submitted late, without a requested extension, the next late

report may result in a reduction of 10% of grant funds.

f. If any reports are received late during the probation period, total funds may be

reduced by 10%. Extensions will not be granted if a grantee is already on

probation.

g. Groups with unsatisfactory monthly reporting will not be granted a project

extension to expend funds if funds remain after the 12-month project term.

End of Term Report/Extension:

Towards the end of the term, the GROUP LEADER has 30 days to:

a. Request a 3 month extension, if funds are still available in the budget, and

provided that the grantee is in good standing with the above reporting

requirements.

b. Complete and submit a group leader survey.

c. Distribute, collect and submit group member surveys.

d. Submit the final monthly progress report.

e. Submit remaining receipts and expense documentation.

f. Return unspent funds to CAPC, if any.

g. Submit a stipend request form (if included in your original grant proposal) after

approval of all of the above.

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SIGN-IN SHEET

GROUP NAME: ___________________________ MEETING DATE: _____________________ LOCATION: ___________________________

ADULT NAME Do you have a child that is 5 years old or

under?

Have you visited this

group before?

Do you consent to have your child’s picture taken, which may be used for promoting

First 5 Programs? (if no, leave blank)

Complete if this is your first time visiting this group

If yes, indicate name of child

If yes, please initial

PHONE EMAIL

1. YES NO YES NO

2. YES NO YES NO

3. YES NO YES NO

4. YES NO YES NO

5. YES NO YES NO

6. YES NO YES NO

7. YES NO YES NO

8. YES NO YES NO

9. YES NO YES NO

10. YES NO YES NO

11. YES NO YES NO

12. YES NO YES NO

13. YES NO YES NO

14. YES NO YES NO

15. YES NO YES NO

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Expenses

&

Payments

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$$$ EXPENSES & PAYMENTS $$$ Remember! Don’t make any purchases until your agreement is signed!

First 5 funds can only be used for expenses approved in your grant proposal!

Receive initial payment from CAPC (typically 10% of your budget).

Spend funds for your group activities. KEEP RECEIPTS!

Complete the expense log.

Email your expense log AND copies of receipts to [email protected]

and [email protected] (keep your originals).

Once approved, you’re ready to receive the next payment!

Turn your expense log and receipts in any day of the week, and your check

will be cut by the Friday of the following week.

Contact: Paul Smith

916-244-1919, [email protected]

Jen Cole

916-244-1909, [email protected]

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MONTHLY INVOICE - EXPENSE LOG

Group Name:

Date of purchase Purchased From Amount What was Purchased Budget Line Item

-$ Total Purchases

Unspent cash on hand from grant funds:

(For CAPC use only) Reconciliation Completed by: Date: (For CAPC use only) Log Reconciliation and refill request approved by: Date:

FIRST 5 SACRAMENTO

COMMUNITY BUILDING GRANT

Notes:

Month/Year:

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MILEAGE

It is optional for the Group Leader to claim mileage, up to $20 a month. These

funds, however, will come out of the grant budget. If mileage will be claimed,

keep in mind that other parts of the project will be reduced

To claim mileage, the attached log must be completed and turned in to CAPC.

NOTE: You are being reimbursed for mileage, not gas. It is not necessary to submit

gas receipts.

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MILEAGE REIMBURSEMENT FORM

Group Name: Project: Month/Year:

Date From/To Purpose of trip Total Miles Driven

TOTAL Miles Claimed this period =

Rate per mile = $0.45

Total Amount Requested =

I am requesting mileage payment for the acutal miles listed above. These were driven in connection with my efforts and work performed during the period shown.

Mileage reimbursement not to exceed $20 per month.

Signature Date

FIRST 5 SACRAMENTO

COMMUNITY CONNECTIONS GRANT

Print Name

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COMMUNITY CONNECTIONS GRANTS Stipend Request Form

A stipend for up to $500 (from grant funds) is available for the group leader/s that is/are in acknowledgement of coordinating group activities after they complete the end of term requirements. Group leaders who do not complete the project are ineligible to receive a stipend. NOTE: Only one stipend will be given to the group, in the name of the main group leader. It is at the discretion of the group leader/s if or how it will be distributed. To be completed at the end of the project and submitted to the Fiscal Agent: I, _______________________________ , certify that the activities outlined below were performed for (Group Leader Name- Main Contact) _________________________________ from _____________________________. I am requesting (Group Name) (Dates of the Project Term) a stipend in the amount of $ _____________. _______________________________ _______________________________ Signature Date

FOR OFFICE USE ONLY The following end of term requirements have been completed (documentation available upon request): Completed and submitted a group leader survey. Date completed: ___________ Distributed, collected, and submitted group member surveys. Date completed: ___________ Submitted final monthly progress report. Date completed: ___________ Submitted remaining receipts and expense documentation. Date completed: ______________ Returned unspent funds to CAPC, if any. Date completed: ___________ Amount Submitted: $_____ Completed the term of the project. Date completed: ______________ Submitted a stipend request form (if included in original grant proposal) after approval of all of the

above. This amount comes out of grant budget. Date completed: ______________ Verification completed by: ______________________________________ _____________ Signature (Community Engagement) Date

______________________________________ _____________ Signature (Programs) Date

______________________________________ _____________ Signature (Fiscal) Date

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Agreement

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AGREEMENT

We need to be responsible with public tax dollars$$$

First 5 has contracted with CAPC to be your Fiscal

Agent for this grant.

Read the agreement between your group and CAPC.

Ask questions about anything you don’t understand.

Sign the agreement.

Once your agreement is signed by both parties, and

your Activity Plan is complete, you’re ready to start!

Contact: Jen Cole [email protected] 916-244-1909

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First 5 Sacramento

Community Connections Grants

Gift Card Log

Group Name: _______________________________________

Please ensure that gift card purchases were approved by First 5.

Gift Card Provided to (name): Purpose Gift Card

Store

Amount Recipient

Initials

Date Received

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Miscellaneous

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Greetings Parents of Little Ones!

We are a group of community volunteers. We are fortunate to have received a community grant from First 5

Sacramento to provide activities for you and your child/ren for free! These funds are used to foster healthy

relationships between parents and their young kids (ages 0-5 years old) and also to help parents, like you, make

connections in their community. To make this program most successful, we rely on the participation of parents,

caretakers, and volunteers. (This is not a drop-off program)

Tell us how you would like to help! Check all that apply or fill in your own.

1. I would love to:

□ Read stories to the kids □ Make flyers □ Help in any way needed

□ Help prepare snacks □ Lead an activity □ Help with set up/ Clean up

□ Help spread the word about these activities □ Other: _______________________

2. Do you have any skills/interests we haven’t asked about above that may help to grow our program? (for

example, photography, dance, computers)

________________________________________________________________________________________________________

________________________________________________________________________________________________________

3. Sorry, I would love to join activities with my child but I am unable to help with activities because:

□ I don’t have time □ I am not interested □ I have bigger kids, older than 5

□ I don’t have transportation □ Other: _________________

This is okay, we still want you to come and have fun!

4. Keep me posted about group activities!

You can reach me at: NAME: ___________________ Ph: ______________ Email: ___________________________

Greetings Parents of Little Ones!

We are a group of community volunteers. We are fortunate to have received a community grant from First 5

Sacramento to provide activities for you and your child/ren for free! These funds are used to foster healthy

relationships between parents and their young kids (ages 0-5 years old) and also to help parents, like you, make

connections in their community. To make this program most successful, we rely on the participation of parents,

caretakers, and volunteers. (This is not a drop-off program)

Tell us how you would like to help! Check all that apply or fill in your own.

1. I would love to:

□ Read stories to the kids □ Make flyers □ Help in any way needed

□ Help prepare snacks □ Lead an activity □ Help with set up/ Clean up

□ Help spread the word about these activities □ Other: _______________________

2. Do you have any skills/interests we haven’t asked about above that may help to grow our program? (for

example, photography, dance, computers)

________________________________________________________________________________________________________

________________________________________________________________________________________________________

3. Sorry, I would love to join activities with my child but I am unable to help with activities because:

□ I don’t have time □ I am not interested □ I have bigger kids, older than 5

□ I don’t have transportation □ Other: _________________

This is okay, we still want you to come and have fun!

4. Keep me posted about group activities!

You can reach me at: NAME: ___________________ Ph: ______________ Email: ___________________________

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Page 47: COMMUNITY CONNECTIONS GRANTS PROGRAM€¦ · You are the expert of your community. ... we should always assure that our messages are grammatically correct and use punctuation correctly

First 5 Community Connections Grants Parent Survey

Group Name: ___________________________________________ Date: ___________________ 1. How many gatherings (including meetings and events) have you attended with this group? □ 1-3 gatherings □ 4-6 gatherings □ 7-10 gatherings □ More than 10 gatherings, estimate # ______ 2. How long have you participated in this group? □ 0-4 months □ 4-8 months □ 8-12 months □ More than 12 months 3. How many children do you have under the age of 6? _____________ 4. Since joining this group…

a) have you made new friends? □ Yes □ No □ N/A

b) have you learned about resources in your community for your family? □ Yes □ No □ N/A

If yes, have you used any of the resources? □ Yes □ No □ N/A

c) Do you feel more confident about being involved in your community? □ Yes □ No □ N/A

d) do you feel more connected or bonded with your child? □ Yes □ No □ N/A

e) is your child more social (play or interacts more with other children)? □ Yes □ No □ N/A

f) has your child learned new skills to prepare them for kindergarten (such as singing songs, dancing, art activities, story time, play)? □ Yes □ No □ N/A

g) are you more likely to take your child to another program that benefits their development (such as a playgroup, library, FRC activity, pre-school)? □ Yes □ No □ N/A

5. What changes have you noticed in your child since you started coming to this group?

____________________________________________________________________________________

6. Do you plan to stay in touch with other members/parents in this group? □ Yes □ No If yes, how will you stay in touch? (Check all that apply.) □ Continue to meet as a group □ Arrange playdates for our children □ By phone and/or social media □ Other _________________

7. Are you interested in a developmental screening for your child by phone? □ Yes □ No

If yes, or you would like more information, please provide your information: Name: ____________________________ Phone Number: __________________

Address: ______________________________________________________________________________

8. Additional Comments ____________________________________________________________________________________________________________________________________________________________________________________

Thank you!

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Encuesta para los Padres Proyectos Comunitarios de First 5

Nombre del Grupo: ___________________________________________ Fecha: ___________________ 1. ¿Cuántas reuniones han asistido con este grupo? □ 1-3 reuniones □ 4-6 reuniones □ 7-10 reuniones □ más de 10 reuniones ______ 2. ¿Cuánto tiempo tiene asistiendo este grupo? □ 0-4 meses □ 4-8 meses □ 8-12 meses □ más de 12 meses 3. ¿Cuántos hijos tiene menores de 6 años? _____________ 4. ¿Desde que empezó a asistir a este grupo…

a) has hecho nuevos amigos? □ Sí □ No □ N/A

b) te has informado de otros recursos en la comunidad para tu familia? □ Sí □ No □ N/A

Si contestaste sí, ¿has utilizado alguno de estos recursos? □ Sí □ No □ N/A

c) te sientes más seguro/a de sí mismo al estar involucrado/a en tu comunidad? □ Sí □ No □ N/A

d) te sientes más unido/a a tu hijo? □ Sí □ No □ N/A

e) es más social tu hijo (juega o se relaciona más con otros niños)? □ Sí □ No □ N/A

f) ha aprendido su hijo más habilidades que le ayudará a estar más listo para el kínder (como cantar, bailar, jugar, hacer artesanías, o hora de cuentos)? □ Sí □ No □ N/A

g) es más probable que lleve a su hijo a otro programa que beneficie su desarrollo (como un grupo de juego, la biblioteca, actividades en un FRC, o el preescolar)? □ Sí □ No □ N/A

5. ¿Cuáles cambios ha notado en su hijo desde que empezó este grupo?

____________________________________________________________________________________

6. ¿Va a seguir en contacto con otros miembros de este grupo? □ Sí □ No ¿Cómo? (Marque todos que aplican.) □ Seguir reuniéndonos como grupo □ Por teléfono y redes sociales □ Organizar reuniones de juego para nuestros niños □ Otra _________________

7. ¿Esta interesado/a en una evaluación de desarrollo para su hijo por teléfono? □ Sí □ No

En caso que sí, o si desea más información, favor de dar su información de contacto:

Nombre: ____________________________ Número de teléfono: __________________

Dirección: ______________________________________________________________________________

¿Comentarios adicionales? ____________________________________________________________________________________________________________________________________________________________________________________

¡Gracias!