Children's Bill of Rights

Family & Corrections Network
The Children's Bill of Rights Project

APPLICATION FORM

Ten partners within the U.S. will be selected. Applications due by July 31, 2006.

PLEASE COMPLETE AND RETURN POSTMARKED BY JULY 31, 2006 TO:

Dee Ann Newell, 5414 Edgewood Road, Little Rock, AR 72207, (501) 366-3647 (CELL) OR (501) 603-0244, lujo@aristotle.net

Three (3) letters of support are required, with one coming from a state agency impacting children of prisoners and their families.

Name of organization or group applying for assistance:

Contact Person:

Address:

City: County: State: Zip:

Phone: FAX:

Email:

BACKGROUND

Length of time group has been in existence: _______________________________________________________

Partnering groups: _____________________________________________________________

Mission Statement or Overarching Mission: _____________________________________________________

Primary services, activities, and/or advocacy efforts of the partnering groups, collaborative(s), or organizations on behalf of children of incarcerated parents and their families, e.g., incarcerated parent, released parent, relative caregiver:____________________________________________________________________________________

____________________________________________________________________________________________

Number of volunteers and staff to support an advocacy effort:___________________

HISTORY OF ORGANIZATION(S) AND/OR COLLABORATIVE(S) AND STATEMENT OF NEED

(Describe your organization, providing history with the focus on services and any advocacy efforts for the target population of children and families impacted by parental incarceration. Describe the problems faced by these families in your area, region, or state and cite demographic details and statistics related to the problem. Clearly state the need of your organization for technical assistance in the advocacy arena for the Bill of Rights for Children of Incarcerated Parents. Specifically, tell us your policy concerns and possible action agenda. (Please, no more than 500 words.)

_________________________________________________________________________________________

Please describe your hopes and outcomes for this partnership (50 words or less.)

Enclosed are 3 letters of support from:

Questions: contact Dee Ann Newell, 5414 Edgewood Road, Little Rock, AR 72207, (501) 366-3647 (CELL) OR (501) 603-0244, lujo@aristotle.net

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A telephone conference call was held July 10, 2006 to discuss the project and answer questions about the application process. To hear an MP3 recording of the call, see conference call audio.

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