ECLOC Collaborative Intake Form

Hello!

You are starting the intake form to join the Early Childhood Leaders of Color (EC LOC) Collaborative.

Admission to the EC LOC Collaborative is not determined by race or ethnicity. Participation is open to individuals of all backgrounds who align with the Collaborative’s values and purpose in early childhood.

We define early childhood work as supporting the foundational period from the prenatal stage to age 5. This definition also extends beyond the child to their surrounding ecosystem shaping their growth — families, caregivers, child care providers, educators, doulas, and early health practitioners whose relationships shape a child's long-term development and potential.

Key impact areas include: Family & Household Stability, Birth Equity, Early Education, Childcare Quality & Access, Workforce Compensation & Development, Early Pediatric Health, Access & Inclusion of Children with Disabilities and Diverse Access Needs, Social Emotional Development, Policy & Advocacy

How you hope to engage

This community thrives in reciprocity, where we can both receive and contribute. Let us know how you hope to engage.

What excites you most about joining this community? What draws you in, lights you up, or feels especially meaningful about being part of the Collaborative?
(Examples: peer support, community building, collective healing, access to experts, etc...)

What kinds of support, resources, or connections are you hoping to receive through this space? This could be personal, professional, emotional, or systemic support—whatever feels most important right now.

What are you excited to offer to this community? Whether it’s your wisdom, your creativity, a listening ear, or your lived experience—what might you want to share, teach, or co-create?

(Don’t feel limited by these but some examples: facilitate virtual programming, workshops or communities of practice; host in-person meetups; moderate affinity group spaces; share resources)

About You

First Name

Last Name

Email

Street

City

State

Zip

Organization

Search for your organization and enter the name in full if it is not in the existing list.

Title/Role

Organization Website

Which area of Early Childhood does your organization's work most/primarily drive impact in?

Other Early Childhood area of impact:

Impact Metrics (pre-survey)

The following impact metrics were self-determined and co-created by the EC LOC Planning Committee as a way to capture the intended impact that the EC LOC Collaborative might have on individual members and the EC ecosystem as a whole. Prior to joining the EC LOC Collaborative as a leader in the field, rank you current level of agreement with the following statements.

	Strongly Agree	Agree	Disagree	Strongly Disagree
Social Capital: I have a community of peers I can lean on in Early Childhood.
Sustainability: I feel a sense of belonging and have space and time for rest and restoration.
Power: Early Childhood Leaders of Color are collectively standing in our power and shifting power back to ourselves and our communities

Thanks for your interest!

We're grateful you've applied to join us! We'll be reaching out shortly via email to confirm receipt of your form and with the final step in your application to join.

You can reach out to ecloc@promisestudio.org with questions.