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Healthy Start Fatherhood Cohort Application

Dear Healthy Start Grantees,

Healthy Start (HS) Cohorts provide space and place for HS grantees to come together to learn about what others are doing, document promising practices, and co-create tools and resources for the broader community. Cohorts provide small groups of HS staff (20-25) with opportunities to connect with other HS staff across the country, lift up and spread successful practices, and brainstorm solutions for common challenges.

The Healthy Start TA & Support Center is pleased to launch its inaugural Fatherhood Cohort! The goal of the Fatherhood Cohort is to convene Healthy Start grantees – who are prepared to and interested in enhancing and strengthening their fatherhood work – to create shared best practices for Involving, Connecting and Engaging fathers and achieving the goal of 100 fathers in the HS program.

This application will take 20-30 minutes to complete. Please note:
  • Please do not fill out this application on someone else's behalf (including for staff who you plan to onboard soon).
  • Please only complete this application if you are prepared to commit to participating in the Fatherhood Cohort from January 2021 through May 2021. 
  • You must receive approval from your Healthy Start Project Director and your direct supervisor (if different from your PD) before submitting this application.
If you are interested in participating in the Fatherhood Cohort, please complete this application by COB Wednesday, 12/30. If you have any questions, please email healthystart@nichq.org. Thank you for your interest in joining the Fatherhood Cohort!

Be well,
The TA & Support Center 
8. Is your Healthy Start Program a new grantee this grant cycle? *This question is required.
9. Which of the following populations do you provide services to? (check all that apply) *This question is required.
10. Grantee agency type: *This question is required.
11. Are your services primarily: *This question is required.
12. Does your Healthy Start program have a Fatherhood Coordinator? *This question is required.
13. How is your Healthy Start Program performing in terms of the Fatherhood benchmarks? (Increase the proportion of HS grantees that demonstrate father and/or partner involvement (e.g., attend appointments, classes, infant/child care) during pregnancy to 90%; Increase proportion of Healthy Start women participants that demonstrate father and/or partner involvement (e.g., attend appointments, classes, infant/child care) with their child participant to 80%). 

  *This question is required.
14. Is your Healthy Start Program on track to meet the goal of enrolling 100 fathers this year? *This question is required.
19. Below are some proposed objectives for the Fatherhood Cohort. We plan to select 1-2 objectives for the Fatherhood Cohort to focus on. Subsequent cohorts will focus on the remaining objectives. 

Of the below objectives, which would you be most interested in focusing on?  *This question is required.
20. We will be using a co-chair leadership structure for the Fatherhood Cohort. Would you be interested in volunteering to be a co-chair? *This question is required.
21. Please check the boxes below to indicate your understanding of the following: *This question is required.
Space Cell Yes
I am applying on behalf of myself. I understand that my spot cannot be transferred to another staff member.
If selected, I acknowledge the expectation to attend a minimum of 90% of scheduled cohort meetings.
This application has been approved by my project director and direct supervisor.
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