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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35774

Refer a Family

"*" indicates required fields

Referral Agency*
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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Comments
This field is for validation purposes and should be left unchanged.

80423

"*" 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*
Comments
This field is for validation purposes and should be left unchanged.

84557

Reserve Your Spot as an Employer

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

County(Required)
If you are registering for a job fair outside of the state of Florida, please select "Other"
Location(Required)
This field is hidden when viewing the form
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: 50 MB.
How did you hear about the job fair?(Required)
Credit Card(Required)
Card Details
Cardholder Name

Coupon

Total

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24867

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?

34235

Corporate Giving

Thank you for investing in the mission of Better Together!

Make the holidays bright
Many families in our community are struggling this Christmas. Give the gift of bright holiday memories, encouragement and hope by participating in our Christmas Toy Drive or Adopt a Family initiatives.
Find drop-off locations
Sign up to Adopt a Family
View our Amazon wish list
Give the gift of time

Get Details

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

1401050272

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!