Parent advocate application

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Name
First Name
Last Name
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Email
example@example.com
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Are you joining as a:
Parent/Guardian
Caregiver or Family Member
Advocate or Ally
4
What systems are you currently navigating?(Education, medical, insurance, therapies, legal, early intervention, other)
Huge
Large
Normal
Small
Ok
Ok
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What feels most overwhelming right now?
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Please reflect on your experience navigating advocacy-related meetings and systems.How accurately does this describe you?
Not accurate
Somewhat accurate
Mostly accurate
Very accurate
I am new to ARDs, evaluations, or advocacy meetings
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I’ve attended meetings but often leave unsure or overwhelmed
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I understand the basics but want to strengthen my effectiveness
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I feel confident and want to deepen my skills or support others
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I am new to ARDs, evaluations, or advocacy meetings
I’ve attended meetings but often leave unsure or overwhelmed
I understand the basics but want to strengthen my effectiveness
I feel confident and want to deepen my skills or support others
Not accurate
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Somewhat accurate
Row 0, Column 1
Mostly accurate
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Very accurate
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Not accurate
Row 1, Column 0
Somewhat accurate
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Mostly accurate
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Very accurate
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Not accurate
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Somewhat accurate
Row 2, Column 1
Mostly accurate
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Very accurate
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Not accurate
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Somewhat accurate
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Mostly accurate
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Very accurate
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Why are you interested in Parent Advocacy Boot Camp at this time?
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What would “feeling supported” look like for you six months from now?
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Are you able to actively participate, ask questions, and apply what you learn?
Yes
Somewhat
Not right now
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Are you interseted in hands-on advocacy support in addition to training?
Yes
Maybe
No
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Are you abble to commit to art least six months of participation
Yes
No
I need to discuss this
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Where do you currently fall?This helps us balance access and sustainability. There are no right or wrong answers.
No
Neutral
Yes
I need advocacy support to remain very low-cost or pay-what-you-can
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I need advocacy support to remain very low-cost or pay-what-you-can
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I can pay a fair monthly rate without thinking twice (Fair means; "What YOU can afford.")
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I’m able to pay more to help sustain access for others
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I need advocacy support to remain very low-cost or pay-what-you-can
I need advocacy support to remain very low-cost or pay-what-you-can
I can pay a fair monthly rate without thinking twice (Fair means; "What YOU can afford.")
I’m able to pay more to help sustain access for others
No
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Neutral
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Yes
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No
Row 1, Column 0
Neutral
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Yes
Row 1, Column 2
No
Row 2, Column 0
Neutral
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Yes
Row 2, Column 2
No
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Neutral
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Yes
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We have added your information to our waitlist!

Thank you for you're interest in builing a training that will serve families for years to come. At this time we are looking for very specific people who can support this goal. We will be in touch.

Be sure to hit "Submit"
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Thank you for applying.

This work is built slowly and with care. You’ll hear from us soon!

Make sure you hit "Submit"
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