Family Conference Planning Form

239.470.2733

Help families impacted by hurricanes

Our team is dedicated to helping people help themselves. We empower them to find employment and provide a loving, safe and supportive foundation for their children.

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HEADQUARTERS

15275 Collier Boulevard
Suite 201-284
Naples, FL 34119

Tel: 239.470.2733
info@bettertogetherus.org

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Become a church partner

"*" indicates required fields

Which program(s) interests your church?*
Better Families
Better Jobs
Church Name*
Address*
Street Address Address Line 2 City State ZIP Code

County*
Point of Contact Name*
First Last
Point of Contact Email*

Point of Contact Phone*
How did you find out about Better Together?*
(Optional) Leave a message for our team:
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Refer a Family

"*" indicates required fields

Referring Agency or Individual
Agency Type*
Contact Name*
First Last
Contact Email*

Contact Phone*
Parent Name*
First Last
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Parent Name(s)
Parent Email

Parent Phone*
Parent's County of Residence*
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State
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Parent's County of Residence
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How many children?
How many children?*
Type of Referral*
Primary Reason for Referral*
Additional Reasons for Referral:
Childcare while giving birth
Domestic Violence
Homelessness
Incarceration
Medical Emergency
Mental Health
Mentoring
Parent Unavailable
Substance Abuse
Unemployed
Weekend Respite
Other (Explain)
Other (Explain)
Does the parent have an open case with the Department of Children and Families?*
Child Protective Investigator Name
First Last
Child Protective Investigator Phone
Tell us about the family and their needs:*
How Urgent?*
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Name
This field is for validation purposes and should be left unchanged.

"*" indicates required fields

Name*
First Last
Email*

Phone*
County of Residence*
This field is hidden when viewing the form
State
This field is hidden when viewing the form
County of Residence
How many children?*
Primary Reason for Referral*
Other (Explain)
Additional Details about Situation
Additional Reasons for Referral:
Childcare while giving birth
Domestic Violence
Homelessness
Incarceration
Job Coaching
Medical Emergency
Mental Health
Mentoring
Parent Unavailable
Substance Abuse
Weekend Respite
Other (Explain)
Do you have an open case with the Department of Children and Families?*
Child Protective Investigator Name
First Last
Child Protective Investigator Phone
How Urgent?*
How did you hear about us?*
Other (Explain)*
Name of Organization*
Name
This field is for validation purposes and should be left unchanged.

Reserve Your Spot as an Employer

Company Name(Required)
Company Website(Required)
County(Required)
Please select the county your company is based in. If you are registering for a job fair outside of the state of Florida, please select "Other"
Are you a second chance employer?(Required)
An employer who is open to hiring individuals who have employment barriers such as incarceration.

Yes

No

Case by case
Are you able to hire individuals who do not speak English?(Required)

Yes

No
Are you able to have a hiring manager on site who can conduct or schedule interviews at the job fair?(Required)

Yes

No
Point of Contact(Required)
First Last
POC Title/Position(Required)
Phone(Required)
Email(Required)

Will the point of contact listed above be attending the job fair?(Required)

Yes

No
If no, please provide the name, email, and phone number of the individual who will be at the job fair(Required)
First Last
Email(Required)

Phone(Required)
Location(Required)
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Donation
There Is no cost to register for the job fair. However, donations are appreciated to offset the costs of this event.

$50 Donation

$75 Donation

$100 Donation

$200 Donation
Upload Logo(Required)
Max. file size: 15 MB.
How did you hear about the job fair?(Required)
Coupon

Credit Card(Required)
Card Details
Cardholder Name

Total

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Partnering as an Employer

Company Name(Required)
Company Website(Required)
Point of Contact(Required)
First Last
Position/Title(Required)
Phone(Required)
Email(Required)

County(Required)
Are you a second chance employer?(Required)
Second chance means you are able to offer employment to individuals who have employment barriers such as previous incarceration or blemishes on their records

Yes

No

Case by Case
Areas/Regions in which you hire(Required)
Available positions(Required)
We know this can vary, but please list general positions you hire for
How did you hear about our job fairs?(Required)
Interested in Sponsorship Opportunities?
Interested in Sponsorship Opportunities?

Corporate Giving

Thank you for investing in the mission of Better Together!

We are Participating in Give4Marion, and Need Your Support!
Join us for a 33-hour campaign dedicated to raising money and awareness for nonprofit organizations doing good in Marion County. Fundraising kicks off today and ends at 7 p.m. tomorrow.

DONATE TODAY!

"*" indicates required fields

Which program(s) interests your church?*
Better Families
Better Jobs
Church Name*
Address*
Street Address Address Line 2 City State ZIP Code

County*
Point of Contact Name*
First Last
Point of Contact Email*

Point of Contact Phone*
How did you find out about Better Together?*
(Optional) Leave a message for our team:
CAPTCHA

239.470.2733

239.470.2733

239.470.2733

Next Steps:

Visitation Plan:

Communication: Office Hours: 9 am to 5 pm, available by phone, text, or email. On-call After Hours: (239) 470-2733 for emergencies (e.g., medical, runaway, etc.)

Emergency Contact Information:

Steps to Accomplish Reunification:

Parent Seeking Support and Host Family:

Concurrent Plans:

Any Steps That Need to Be Taken Now? (e.g, getting on a waiting list, talking to a family member, etc.):

QUICK LINKS

GRACIOUSLY FUNDED BY

HEADQUARTERS

We are Participating in Give4Marion, and Need Your Support!