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Strong Roots Programs Inquiry Form
Which Zero to Thrive program(s) are you interested in learning more about?
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Strong Roots
Mom Power
Strong Beginnings
Fraternity of Fathers
Strong Military Families
Hearts and Minds on Babies
Perinatal DBT
What organization do you represent?
Please provide a contact name, email, and phone number so that one of our staff may contact you to discuss further:
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What type of organization do you represent?
Clinical
Social service
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Early childhood
Case management
Other community-based non-profit
Please briefly describe why your organization is interested in the Strong Roots programs:
How did you hear about Strong Roots?
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We are interested in understanding the population that your organization serves. Please select all that apply:
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Children 0-6
School-aged children
Teens
Families
Parents
Teen parents
Family violence
Substance abuse
Abuse/neglect
Mental health
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