Strengthening Families National Network
Membership Application

State/Jurisdiction applying for membership:
If jurisdiction, indicate state, city, etc. where you are located:
Name of Strengthening Families initiative (optional):

Please list names and contact information for up to three leaders of your initiative. These leaders will receive communications from the Center for the Study of Social Policy and others seeking to connect with your initiative. (On the next page, you will have the opportunity to list additional members of your leadership team to receive State Leader Updates.)

Name: / Title:
Organization:
Address: / City, State, ZIP:
Phone number: / Email address:
Name: / Title:
Organization:
Address: / City, State, ZIP:
Phone number: / Email address:
Name: / Title:
Organization:
Address: / City, State, ZIP:
Phone number: / Email address:

Please provide the names and email addresses of others involved in leadership of your Strengthening Families efforts. These leaders will receive monthly “State Leader Updates,” invitations to national meetings and other communications from the Center for the Study of Social Policy. (Additional names and email addresses that do not fit on this page may be sent to Cailin O’Connor.)

NameEmail address

Please indicate the sector(s) represented in your Strengthening Families leadership:

Advocacy / Justice and/or corrections
Business / K-12 education
Child support enforcement / Maternal and child health
Child welfare/child protective services/
foster care / Mental health
Parent leaders/community members
Children’s Trust Fund
Public health
Domestic violence
Social services/income support
Early care and education
Other basic needs (housing, food stamps, etc.)
Early intervention (Individuals with
DisabilitiesEducation Act Part C program)
Other child abuse and neglect prevention
Employment/workforce development
Family support / Other(s) – please list below:
Fatherhood, relationship strengthening
Home visiting

The following information helps us to understand your implementation interests and connect you to peer learning opportunities. Please indicate the ways in which you are currently implementing Strengthening Families (first checkbox), or intend to implement it in the coming year (second checkbox), in each of the following sectors:

Early care and education:

CurrentPlanned

Strengthening Families Protective Factors Framework is integrated into state Quality Ratings and Improvement System
Strengthening Families Protective Factors Framework is used in State Early Learning and Development Advisory Council planning and policy efforts
Child care resource and referral (CCR&R) network is engaged in professional development and support for programs that are implementing the Strengthening Families approach
Strengthening Families approach and Protective Factors Framework are integrated into state early care and education workforce knowledge and competency framework
Strengthening Families Protective Factors Framework is used in Early Childhood Comprehensive Systems (ECCS) planning and/or other early childhood systems development efforts
Strengthening Families Protective Factors Framework is used to support family, friend and neighbor care providers (also referred to as informal or license-exempt care)
Other(s) (please describe):

Child welfare:

CurrentPlanned

Strengthening Families approach and Protective Factors Framework are being integrated into training for child welfare workers
Strengthening Families approach and Protective Factors Framework are being integrated into training for foster parents
Strengthening Families approach and Protective Factors Framework are becoming part of the child welfare practice model
Strengthening Families approach and Protective Factors Framework are being integrated into assessment tools
Strengthening Families approach and Protective Factors Framework are being used in differential response efforts in the child welfare system
New partnerships are being formed between child welfare and early care and education programs using Strengthening Families approach and Protective Factors Framework
Other(s) (please describe):

Child abuse and neglect prevention:

CurrentPlanned

Training is provided for child abuse and neglect prevention providers about the Strengthening Families approach and Protective Factors Framework
The Strengthening Families Protective Factors are part of the Community-Based Child Abuse Prevention Request for Proposal (RFP) process
County or community-level prevention planning processes have been aligned to the Strengthening Families Protective Factors Framework
Other prevention resources support program implementation of Strengthening Families
Mandatory reporter training has been adapted to include the Strengthening Families approach and Protective Factors Framework
Family support programs are adopting Strengthening Families
Public awareness campaigns include the Strengthening Families Protective Factors Framework
Other(s) (please describe):

Other areas of implementation:

CurrentPlanned

Strengthening Families is included in the state plan under the federal Maternal, Infant and Early Childhood Home Visiting (MIECHV) program
Strengthening Families is included in other home visiting initiatives
Parents and community members have opportunities to participate in Parent Cafés or Community Cafés

Please share any additional information about your Strengthening Families initiative:

Pleaseattach your completed application form to an email to Cailin O’Connor () or print and mail to the Center for the Study of Social Policy at the address below.

CENTER FOR THE STUDY OF SOCIAL POLICY  1575 EYE STREET NW, STE. 500  WASHINGTON, DC 20010 