Covering Kids & Families Back-to-School
Covering Kids & Families Back-to-School
Participation Form
(All organizations that are planning events or conducting Covering Kids & Families Back-to-School outreach are encouraged to return this form.)
* To Covering Kids & Families Grantees: While your online reporting period will include this information, the Covering Kids & Families Communications Team is collecting this information prior to publicize planned activities on the Web site and to distribute to the media.
Contact Name:
Title:
Organization:
Mailing Address:
City: State: ZIP:
Phone: Fax:
E-mail: Media Market:
____ Please include me on your e-mail list so that I can receive updates about plans and resources for the 2006 Covering Kids & Families Back-to-School Campaign.
Please take a moment to complete the following information on your 2006 Covering Kids & Families Back-to-School Campaign efforts.
I plan to (check all that apply):
____ Hold a press conference
____ Issue a press release
____ Submit an opinion-editorial/letter to the editor/drop-in article to the local paper or other publication
____ Pitch b-roll
____ Pitch PSAs
____ Pitch audio bite lines
____ Hold one or more enrollment or outreach events during the back-to-school period
____ Involve elected officials in media/outreach events
____ Explain coverage options for adults
____ Reach out to the community, including local businesses, schools and other organizations
____ Provide the Communications Team with contact information for families that are willing to share their stories with the media
____ Other [please describe]:
____ I give the Covering Kids & Families Communications Team permission to include information about my event in the nationwide Covering Kids & Families Back-to-School Campaign State Activity Report that will be distributed to the media and placed on the Covering Kids & Families Web site.
Please attach a description of activities that you are planning. Examples are provided on the following page.
Briefly describe the activity, including (all that apply):
• Type of event (press conference, media outreach, enrollment event, outreach activity, etc.)
• Date and time
• City and state
• Contact information
• Speakers
• Participating organizations and/or businesses
• Other relevant information
Covering Kids & Families Back-to-School Campaign Activities Examples
|EXAMPLE #1: |
| |
|__X__ Press Conference __X__ Enrollment Event |
| |
|August 2, 9:00 a.m. – 2:00 p.m. |
|Chicago, IL |
|Senator Miguel del Valle will host his 9th Annual Family Health Fair. More than 2,000 people from the community are expected to attend. |
|KidCare enrollment and outreach staff will be on hand and local doctors will provide free health services and screenings. A local Hispanic |
|radio station will do a live feed from the fair between 8:00 and 10:00 a.m. Other speakers will include Robyn Gabel, executive director of |
|the Illinois Maternal & Child Health Coalition; Dr. Virginia Bishop-Townsend, medical director, Jose de Diego Community Academy; and Paula |
|Bermudez, KidCare family spokesperson. The media has been notified and invited to attend. |
| |
|EXAMPLE #2: |
| |
|__X__ Outreach Activity |
| |
|Mid-August |
|Avon Park, FL |
|Representatives from Florida KidCare will be at the community health fair sponsored by the United Methodist Church. Information about |
|low-cost and free health care coverage will be distributed. |
| |
|EXAMPLE #3: |
| |
|__X__ Outreach Activity __X__ Enrollment Event |
| |
|Mid-August |
|Julian, CA |
|Julian Pathways JUSD will work to distribute Healthy Families and Medi-Cal information at K-12 school registration days throughout Julian |
|County. |
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