Organization Request for Family Partner

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Thank you for your interest in seeking input from families. Family Partnership is vital to the success of program development, implementation and quality improvement. The Family Partners who have chosen to be added to the Maine Family Partnership Directory are eager to be involved.

Your answers to the questions below will help us to identify an potential Family Partner to provide expertise from the family perspective. It is important to be clear about the skills and abilities you need for your workgroup, advisory, event or other family partnership opportunity. Based on your answers, we will attempt to make a match with a potential family/parent partner.

If you need any further assistance, contact the Family Partnership Liaison, Anna Cyr, at anna.cyr@maine.gov or 207-287-8424.

Organization Name

Contact Person Name

Organization's Street Address

Organization's City

Organization's State

Organization's Zip Code

Organization's Phone Number

Contact Person's Email Address

What is your preferred contact method?

Phone

Text

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Please select all that apply

Prenatal (12 months prior to pregnancy)

Perinatal (conception through birth)

Post Partum (birth up to 1 year post birth - focus on mom)

Newborn Health (up to 1 year - focus on baby)

Early Childhood (1-5 years)

Childhood (5- 12yrs)

Adolescent (13-18yrs)

Children and Youth with Special Health Care Needs

Children and Youth with Complex Medical Conditions

Maternal Mortality

Fetal Mortality

Infant Mortality

Please select the following skills of a parent/family leader that are important to your organization

Oral Communication ( i.e. Public Speaking)

Written Communication

Time Management Skills

Strategic Thinking

Innovative Thinking

Quality Improvement

Self-Motivated

Please select the following experiences a parent/family leader may have that are important to your organization

Committee/Workgroup

Data Analysis

Event Planning

Group Facilitation

Document Development

Budget Development

Social Media

Grant Writing

Website Design

Curriculum Design

Advisory Board Experience

Survey Development

Other

Families engage with agencies/organizations/systems in three distinct levels of partnership. These levels reflect how families are able and willing to collaborate.
What level of partnership is your organization looking for?

Individual Level - At this level, the partnership is centered on a family's personal situation and needs. It often involves direct services or transactions that primarily benefit the family itself. Engagement activities focus on gathering and sharing insights about the family's experiences, challenges, and needs. This level of partnership helps identify barriers and gaps in services from the perspective of individual families.

Community Level - At this level, families engage in supporting their broader community, defining shared identities. Families collaborate with agencies to support and benefit their broader community. Families may define their community based on geography, shared experiences, or other common identities. Families are invested in decisions or activities that impact their community.

Policy Level -At this level, families participate in shaping policies with a broader impact. Families actively participate in shaping policies and decisions that have a broad impact. They work as partners in planning, implementing, and evaluating policies to ensure shared decision-making. Families bring informed perspectives and advocate on behalf of specific populations or constituencies

Do you have clear roles and responsibilities for the parent/family partner role?

Yes

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What type of opportunity is this request for?

Volunteer

Compensated

Combination

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Will your organization be offering any training or capacity building to the parent/family partner?

Yes

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What length of time commitment are you requesting?

1 Day or Less

> 1 Day < 1 Week

> 1 Week < 1 Month

> 1 Month < 6 Months

> 6 Months

Ongoing or Indefinite

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Will the parent/family partner be expected to engage with your organization

Virtually

In Person

Via phone

Via email

Will the parent/family partner be expected to travel?

Yes

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Travel type

Instate

Out of State

Will they be compensated for mileage or time?

Yes

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Could you share more about the opportunities your program is offering for a family leader and explain the qualities or characteristics you are looking for in a parent/family leader?

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