Leadership in Advocacy Training

2013 Fall Application

About the Children’s Alliance

The Children’s Alliance works to improve the lives of children by making positive changes in public policy. We are a statewide, membership-based organization. Our vision is that all Washington’s children will have what they need to grow up to be the people they dream of becoming.

The Children’s Alliance honors diversity in race, ethnicity, culture, age, abilities, gender, sexual orientation, and places where people live. The Children's Alliance seeks to be a multicultural and culturally competent organization that works for equity among all people.

About the Training

The Children’s Alliance Leadership in Advocacy training teaches essential skills needed in advocacy. In this interactive training, participants will learn to:

·  Communicate with elected officials

·  Create an effective key message

·  Build community and network

·  Understand the legislative process

In addition, there will be opportunities to discuss racial disparities and inequalities that are hurting kids, and how you can use your own strengths, interests, and leadership abilities to connect to advocacy.

Admission is limited to Washington State adult residents. You must be an online member of the Children’s Alliance. It’s free to sign up at: http://action.voices.org/site/PageNavigator/signup.

We seek to reflect diversity in our participants. We encourage parents/guardians of children personally affected by Children’s Alliance policy issues, people with low incomes, and people of color to apply. We want participants committed to advocating for policies that benefit children. We encourage applicants to join with others and apply as a group. Applications are accepted and reviewed as they come in. We encourage you to apply as soon as possible.

Cost for the training is $100.00 for Children’s Alliance online members and $75.00 for current Children’s Alliance organizational members (staff, board, and volunteers). Training costs include all materials and lunch. Also, training cost can be applied to offset a portion of the cost of new or renewing Children’s Alliance organizational membership.

Scholarships, child care assistance, travel reimbursements, and interpretation services are available. Please do not let cost keep you from applying.

The training schedule is from 9:00am to 4:00pm. Please select the location you are applying for:

£ Seattle/Tacoma: Friday, September 27th 33530 1st Way So, Federal Way, WA 98003

£ Spokane: Date & Time TBD Location TBD

£ Port Angeles: Date & Time TBD Location TBD

This application is available at: www.childrensalliance.org. Please return application materials to Emijah Smith, Children’s Alliance, 718 Sixth Avenue So., Seattle, Washington 98104, fax: 206-325-6291, or email . If you have questions, please email or call Emijah Smith at 800.854.KIDS x25.

Tell us about yourself (please type or write legibly)

Name:
Organization (if applicable):
Address
(city, state, and zip code)
Email:
Phone: (home, work) / Cell phone:
State Legislative District: Find your district: / http://www.leg.wa.gov/legislature
Are you an online member of the Children’s Alliance?
If not, please sign up now (it’s free!) at http://www.childrenshub.org/calliance/join.html / Yes No
Are you or your organization an organizational member of the Children’s Alliance?
Are you or your organization interested in joining or renewing organizational membership?
Click: organizational members for list of names or go to http://www.childrensalliance.org/about-us/organizational-members / Yes No
Yes No
Are you applying with a group of applicants?
If so, please share names of other applicants from the group:
/ Yes No
Do you require language interpretation? If yes, what language? / Yes No
Meal arrangements? Vegan Vegetarian / Other (describe)
Please specify any required accommodations:
How did you learn about the training?
(website, Facebook, email, blog, etc.)
If someone else is paying your training costs, please share the contact information - name, number, & email:

Optional

Race/Ethnic background:
Gender:
Parent/Guardian? / Yes No
Are your kids currently or previously enrolled in the Apple Health for Kids (includes any state health insurance program for kids) program? / Yes No
Have you or a family member had a hard time accessing medical care? / Yes No
Have you or a family member had a hard time accessing dental care? / Yes No
Are you currently or previously been enrolled in the food stamps program? / Yes No
Are you low-income? / Yes No

Legislative Advocacy

Have you ever? (check all that apply)

 Been to the state capitol in Olympia?  Been a media spokesperson?

 Mobilized a group around a policy issue?  Contacted or visited an elected official?

Advocacy Interests

The Children’s Alliance leads several long-term advocacy campaigns to improve kids’ lives. We also support efforts on many other issues that impact children, families, and racial equity.

Which of these Children’s Alliance advocacy campaign areas are you interested in getting involved in?

__ Children’s Health __ Ending Childhood Hunger __ Dental Health Access __ Early Learning Education

Briefly share why?

What other issues are important to you, your family, and/or community?

Briefly share why?

Briefly share why you are interested in strengthening your skills as an advocate for kids:

Scholarship and Financial Assistance

Page 1 of 3

Scholarships and financial assistance are available. The level of assistance depends on need and funds available. We will do our best to meet your need. We may only be able to provide partial assistance. Acceptance to the Leadership in Advocacy training is unrelated to need for scholarships or financial assistance.

Applicants with family income at or below 200% of the federal poverty level ($49,100 per year for a family of four) are eligible. We encourage you to apply, even if you believe you need assistance and your income is above 200%. Family income chart: http://www.coverageforall.org/pdf/FHCE_FedPovertyLevel.pdf.

Costs: I or my organization can afford to contribute $______toward my training costs (minimum = $25.00). Please indicate how much you can pay, even if less than $25.00.

Transportation: Applicants are required to make their own travel arrangement to and from the training. Please share your travel method and submit verification if needed, i.e. roundtrip mileage for drivers.

Travel method: ______Travel costs $______Roundtrip mileage for drivers ______

Child Care: Applicants are requested to make decisions about child care needs and make their own child care arrangements. Amount requested for child care $______. Please indicate the number of children ______.

Please indicate type of care: ______(full-day, half-day, before school, afterschool, or both).

4