we want to recruit you

Programs and Agencies

Be a Strengthening Families Illinois Program and build families’ protective factors in partnership with parents.

Please submit only one form per program or agency.

YES, we want to be a Strengthening Families Illinois program / agency and build families' protective factors! We have read and agree to the SFI Program Commitment.

Program / Agency
Name of Program / Agency:
General Email:	General Phone:
Address Line 1:	Address Line 2:

City:

State:

Zip:

Contact Person for SFI (Primary)
First Name:	Last Name:
Email:	Phone:
Contact Person for SFI (Alternate)
First Name:	Last Name:
Email:	Phone:

Submitted by
First Name:	Last Name:
Job Title:	Today's Date:

What results do you expect from your participation in SFI—for families and for your program / agency?

© 2011 Strengthening Families Illinois