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Home
About Us
Our History & Mission
Evolution of Unicorn Children's Foundation
Meet the Staff
UCF Board Members
>
Board Application
Junior Board Members
>
Junior Board Application
What We Do
Testimonials
>
Intro to Photography Testimonials
Community Impact
Map
Programs
In-Person and Virtual Classes
Working Women's Support Group
Family Navigation Programs
>
Family Navigator Program
Unicorn Connection Center
Early Start Denver Model (ESDM) Autism Parent Coaching
Virtual Hub
211 Special Needs Hotline
Unicorn Children's Foundation Clinics at NSU
Transition & Adulthood Programs
>
Boca School for Autism
Employment Training Programs
Collective Impact Programs
>
Special Needs Advisory Coalition (SNAC)
Creating Compassionate Children
>
Our Story
Store
Testimonials
Resources
Get Caught Being Kind™
Videos
Take the Pledge
Evaluation Form
Projects
>
Uniquely Gifted Boutique©
Special Percs Café™
Unicorn Connection Center Visual Cookbook
Get Involved
Attend an Event
>
Family Fun Night
Dancing for a Difference
Creative Workforce Solutions Conference
Become a Volunteer
Become a Partner
I Am...
Join Our Mailing List
Press
Unicorn In the News
Gallery
Press Releases
Supporters
Community Partners
Visionary Society and Order of the Unicorn
Youth in Service Ambassadors
Contact
Donate
Donate Now
Canadian Donors
Ways to Give
Donate Cryptocurrency
Accessibility Tools
Application: REST Respite Train-the-Trainer
Part I: Applicant Information
Did you Completed Forms 1 - 3?
*
Yes
No, but I am emailing them after I complete this
Applicant type
*
I am applying as an independent trainer
I am applying as an agent of my employer
Other
please specify:
*
*
Indicates required field
Name
*
First
Last
Email
*
Title:
*
Primary Phone Number
*
Secondary Phone Number
*
Mailing Address
*
Primary Spoken Language
*
Other Spoken Language
*
Organization Name (if applying as an agent of your employer)
*
Organization type
*
Private
Public
Non-for-profit
For-profit
Other
Please specify:
*
Industry Type
*
Faith community
Corporate
Human resources/Employee Assistance Program
Law enforcement/public safety
Higher education
Primary/secondary education
Hospitality
Older adults
Social services
Behavioral healthcare
Other healthcare
Government
Other
Please specify:
*
Organizational Service Area
*
North Palm Beach (Riviera Beach to Tequesta)
Central Palm Beach (Lantana to West Palm Beach including Royal Palm Beach, Loxahatchee and Wellington)
West Palm Beach (all of the Glades)
South Palm Beach (Boynton Beach to Boca Raton)
How did your program find out about the trainer program?
*
Employer email
Employer requirement
Professional relationship
Personal Relationship
Internet search
Website
Other
Please specify:
*
Part II: Applicant Experience and Qualifications
1. Why do you want to become a REST Trainer? (max 200 words)
*
2. Please provide a description of your personal and/or professional experiences in the field of special needs/disability that qualify you to teach a respite companion course (i.e. clinical experience, ages and disabilities served, personal or family history, social service experience, etc.) Please provide time frames for any relevant experiences. (max 300 words)
*
3. Please provide a description of your experiences in adult instruction that would qualify you as a strong candidate to be an effective respite trainer (i.e. group facilitation, teaching. etc.) Please provide time frames for any relevant experience. (max 300 words)
*
Have you taken a respite course?
*
Yes
No
If yes, what course, and when did you take it (mm/yy)
*
5. What other skills or experiences do you have that you believe will support your success as a respite trainer? (max 200 words)
*
Part III: Understanding of Program
6. What does the term "special needs" mean to you? (max 200 words)
*
7. What factors do you believe create and mantain the stigma associated with individuals who have special needs/disability?
*
8. What do you believe are the skills and attitudes needed to be an effective respite trainer? (max 150 words)
*
9. How does respite care support/complement the work you or your organization is already doing? 9 max 200 words)
*
Part IV: Strategic Plan for Implementation
10. Please provide some examples of how you have effectively networked with organizations, local services or other partners within your community to support an initiative (i.e. public education initiative, community event, volunteering, etc. ) (max. 200 words)
*
11. Please describe your plan to implement this program in the next year. Be sure to include information about how to plan to secure funding, how you plan to market your courses, who you will partner with, and what audiences you plan to target. (max 400 words)
*
12. When do you plan to teach your first course and who will be your target audience? (max 150 words)
*
13. What polpulation(s) do you anticipate your target audience will serve? (check all that apply)
*
Birth to 5 years
Elementary age
Middle school
High School
Young Adults
Elderly
Part V: Financial Aid
15 a. I would like to be considered to receive a tuition scholarship
*
Yes
No
15 b. If you answered yes to 15a, please provide a brief explanation as to your financial need.
*
Submit