Request for Print Materials: Small Steps for Big Vision

Request Print Materials from Small Steps for Big Vision

Thank you for your interest in Small Steps for Big Vision: An Eye Health Information Tool Kit for Parents and Caregivers. We are able to provide a spiral bound set of a sampling of materials from the tool kit to programs serving families with limited internet capability. Thank you for providing some information on your program and the families that you serve. Thank you for understanding we have limited funds; you are welcome to make copies of these materials to distribute.

Question Title

* 1. Tell us about yourself

Name

Organization, child care, or school name

Number of children served and ages

Address

City/Town

State/Province

ZIP/Postal Code

Country

Email Address

Phone Number

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* 2. Profession

Early Head Start/Head Start (Centers, Health Manager, Family Advocate, TTA, Consultants, etc.)

Childcare / early care and education (not Head Start)

Early intervention

Home visitor

Nurse (including school nurse)

Social Worker

Parent/Guardian/Caregiver

Parent Educator

Teacher

Other (please specify)

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* 3. Job Title

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* 4. Because we have limited funds, and the materials are targeted to families that do not have good internet connection and won't be able to view the materials on a computer, we would like to make sure the materials are being distributed to programs in highest need. In a few sentences, please describe the demographics of the children and families you serve, and how you will distribute the hard copy materials.

Request for Print Materials: Small Steps for Big Vision

Request Print Materials from Small Steps for Big Vision

Question Title

* 1. Tell us about yourself

Question Title

* 2. Profession

Question Title

* 3. Job Title

Question Title

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* 5. Please indicate the number of packets you would like IN ENGLISH (UP TO 20). Please note that you are welcome to copy materials.

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* 6. Please indicate the number of packets you would like IN SPANISH (UP TO 20). Note that you are welcome to copy materials