Leadership Council Member Information Form Name: ____________________________________________________________________________________ Address: _________________________________________________________________Zip______________ Phone:
(Home):________________________________
(Work):_________________________________
(Cell):_________________________________ e-mail address: ____________________________________________________________________________ Name of Business/ Organization: ________________________________________________________ Title: ______________________________________________________________________________________
Interest or Motivation with Early Childhood Initiatives:
Other Active Community Involvement:
Any Questions/Comments:
Vision: A diverse community where every family is supported and has access to quality programs and resources for their Mission: To help all children enter school healthy and young child. prepared to succeed.