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IL NET Peer to Peer Mentoring Application

IL-NET Peer To Peer Mentoring Application

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 Mary Willard, molson.april@gmail.com or 406.544.1668 at any time.  Please note that COVID-19 restrictions may dictate whether or not you can have a mentoring that involves travel.  For the foreseeable future, please go into this application with goals that can be achieved through virtual means in mind. We are so excited that you are ready to take the 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 are encouraged to express freely their findings and conclusions. Points of view or opinions do not, therefore, necessarily represent official Administration for Community Living policy.
 
1. Please indicate below which mentoring program you are applying for: *This question is required.
2. Please fill out the following contact form to the best of your ability. 
This question requires a valid email address.
3. If you are not the Chair or ED of a SILC , please check at least one box below to indicate that a decision maker at your SILC knows about and supports you applying for services. If you can not check at least one box below, please return to fill out an application once support has been secured. 
3. Please indicate below the amount of time you have been in your organization: 
4. Please check the areas that best describes the overarching goal you are seeking support for.