FAITH IMPACT PARTNER SD Faith Impact Action Form Thank you for your interest in becoming a South Dakota Kids Belong Faith Impact Partner! Please complete this application so that we can connect you and your Church to the local SD Foster Family community as a Faith Impact Partner. If you have any questions about this application, please email Codi at cellingson@sdkidsbelong.org Church Information Church Name * Church Address * City * State * Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Zip * Your Name * Your Role * Church Phone Number * Website Email * Additional Contact Names/Phone/Email I Would Like to Know About Research - Belong Service Dedicate one Sunday service EDUCATING on the needs of foster care in your community. Retain - A Wrap Ministry ACTIVATE support for foster parents in your Church and community. Recruit - Faith Initiative ADVOCATE- Play a 3-4 minute video of a Child that needs to be adopted. Dedicate 3-4 Sunday services to EDUCATE your congregation, ADVOCATE for children, and ACTIVATE your Church to care for vulnerable children. Relationship - Collaborate Create a relationship with the local CPS office to meet their immediate needs. Resource Partner My church would like to support SDKB financially I would like to subscribe to your Newsletter * Yes No If you are human, leave this field blank. Submit