Skip survey header

Winter 2021 HS BF 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 the second Healthy Start Breastfeeding Cohort! The goal of the Breastfeeding Cohort is to convene Healthy Start grantees – who are prepared to and interested in enhancing and strengthening their breastfeeding work – to create shared best practices for promoting, protecting, and advancing breastfeeding among Healthy Start clients. The Breastfeeding Cohort will meet on the first Wednesday of each month from 2-3:30 p.m. EST from March through June 2021 (March 3, April 7, May 5, and June 2). 

This application will take 20-30 minutes to complete. Please note:
  • Do not fill out this application on someone else's behalf (including for staff who you plan to onboard soon).
  • Only complete this application if you are prepared to commit to participating in the Breastfeeding Cohort from March 2021 through June 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 Breastfeeding Cohort, please complete this application by COB Monday, 2/22. If you have any questions, please email Thank you for your interest in joining the Breastfeeding 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. Are you a Certified Lactation Counselor (CLC) or International Board Certified Lactation Consultant (IBCLC)? *This question is required.
16. How is your Healthy Start Program performing in terms of Healthy Start Benchmark VII (Increase proportion of HS child participants whose parent/caregiver reports they were ever breastfed or pumped breast milk to feed their baby to 82%)?
  *This question is required.
17. How is your Healthy Start Program performing in terms of Healthy Start Benchmark VIII (Increase proportion of HS child participants whose parent/ caregiver reports they were breastfed or fed breast milk at 6 months to 61%)? *This question is required.
22. Have you participated in any past or current cohorts coordinated by the Healthy Start TA & Support Center? *This question is required.
23. Below are some proposed objectives for the Breastfeeding Cohort. We plan to select 1-2 objectives for the Breastfeeding Cohort to focus on. Subsequent cohorts will focus on the remaining objectives. 

Please rank the below objectives (1 being the objective you are most interested in focusing on and 4 being the objective you are least interested in focusing on).  *This question is required. Note: for the following table each column is restricted to a single answer across all rows.
24. We will be using a co-chair leadership structure for the Breastfeeding Cohort. Would you be interested in volunteering to be a co-chair? *This question is required.
25. 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.