Alliance for Childhood Contact Form

Which of the following topics most interest you?
(Select all that apply)
Play
Playwork
Education
Early Childhood
Screen Time and Technology
Decade for Childhood
Advocacy

Which of the following categories best describe you?
(Select all that apply)
Educator: 0 to 3 years
Educator: 3 to 8 years
Educator: Grade 4 to Grade 12
Educator: Higher Education
Educator: Informal or Nonformal
Program or Other Administrator
Nonprofit leader
Child Care Provider
Psychologist or Psychiatrist
Health Care Professional
Business or Industry Representative
Foundation Representative
Elected Official
Parent
Grandparent
Other

Which of the following volunteer activities most interest you?
(Select all that apply)
Outreach to elected officials – state/local
Outreach to elected officials – federal
Writing op-eds, letters to the editor, editorials or other media pieces
Distributing Alliance information at gatherings/meetings
Hosting community discussions/events
Hosting an Alliance display at events
Serving as a program/content area advisor
Participating on an Alliance committee
Helping with Alliance fundraising activities
Other

Which of the following advocacy activities most interest you?
(Select all that apply)
Send an e-mail or letter to an elected official
Call the office of an elected official
Meet with a legislative aide or elected official in your congressional district
Meet with a legislative aide or elected official in Washington, D.C.
Speak or ask a question at a Town Hall meeting or other event
Write and submit an op-ed piece
Write a letter to the editor of a newspaper or other publication
Host a media event
Participate in a radio interview
Participate in a TV interview
Other