Peer to Peer Program Application
IL-NET/ APRIL Peer to Peer Mentoring
Congratulations! You are ready to set a goal and work towards improving your organization to achieve even better outcomes for people with disabilities/disabled people in your area. Please fill out the application below to the best of your ability. If you have questions, you may contact APRIL Director of Training and Technical Support Rebecca Roberts, rroberts@april-rural.org at any time. We are so excited for your next step in your IL journey!
The IL-NET is supported by grant numbers 90ILTA0001 and 90ISTA0001 from the U.S.Administration for Community Living, Department of Health and Human Services, Washington, D.C. 20201. Grantees undertaking projects under government sponsorship areencouraged to express freely their findings and conclusions. Points of view or opinions donot, therefore, necessarily represent official Administration for Community Living policy.
Please indicate below which mentoring program you are applying for:
CIL to CIL
SILC to SILC
Name
First Name
Last Name
Organization
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Email
example@example.com
How many staff work for your organization (not including volunteers)?
Current Position:
Please indicate below the amount of time you have been in your current position:
Please indicate below the amount of time spent in the Independent Living field overall:
Please indicate below the areas that best describe your overarching goal you are seeking support for:
Transition from Institutions (nursing homes, incarceration, etc)
Youth Transition
New Executive Director Orientation
New Program Manager/ Assistant Director Orientation
Fund Development/Fee For Service
Building Peer Support Programs
Outreach to underserved populations
Rural Outreach and Community Development
Board Development/Traning
New SILC Chair Orientation
SPIL Development
SPIL Needs Assessing
Other
Please use as much space as you need to describe your top specific issues or barriers you’re facing and what outcomes you would like to achieve through this mentoring. Please include as much detail as possible to help us find the right potential match for you. (Why are you applying for mentoring services?)
What steps (if any) have you and others at your organization already done to address the above issues or barriers? (For example, trainings on this topic you have already accessed, services with Paula McElwee with the IL-NET, if you have already had a mentor, connections with state networks, and other creative solutions you have tried.)
Can you think of anything else that might be useful for us to know about your request? Do you have preferences of potential mentors you would like to work with such as must be rural or must serve youth?
How did you hear about us?
Submit
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