SF Kids Collaborative -- Community Connectors

Participant Application

Thank you for your interest in participating in the SF Kids Collaborative at Support for Families! This is an impactful opportunity to help other families in our community benefit from the expertise you have gained on your journey caring for a child with a disability or special health care needs. For complete program details, please review the participant overview document. If you are interested in joining the SF Kids Collaborative as a Community Connector, please fill out the application form below!

*Please note, all application information is confidential and for use by Support for Families only.

Participant Application

First Name

Last Name

Phone Number

Preferred Language

English language fluency (pick one):

Age(s) of Child(ren)

Have you ever received services or participated in programs at Support for Families? (Note: not required to participate)

How long have you been a participant in Support for Families programming or services?

Does your family reside in San Francisco?

What is your zip code?

Do you have regular access to a computer and internet?

Please share a little bit about your lived experience as a parent or caregiver of a child with a disability or complex medical needs.

Please share which systems and services you have experience navigating (check all that apply):

Other:

Please share a little bit about why you are interested in participating as a Community Connector in the SF Kids Collaborative. Why are you motivated to help improve the system for all families and help other families navigate the system?

Which SF Kids Workgroup are you most interested in joining? (Please note, we assign participants to workgroups based on their lived experience and the needs of the collaborative, so your preference is not guaranteed.)

Have you reviewed the participant overview document for Community Connectors, and are you ready and able to commit to these expectations?

How did you hear about us?

Agency:

Other:

Thank you for your interest! If you have any questions, please reach out to Celeste Chacon at cchacon@supportforfamilies.org. Please click submit below to complete your application.

Contact Information