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Peer Mentor Training Program for People with I/DD: Cohort 2 Application

Peer Mentor Training Program People with I/DD

Thank you for your interest in applying for the Peer Mentor Training Program (PMTP).
  • The deadline for application submission is Friday, February 25th.
  • More information can be found at
  • If you have any questions, please contact the Project Director, Kelly Friedlander, at
PLEASE NOTE: This form does not auto-save. It may be best to complete the essay questions first in a word document first, save it, and then complete the application. 
First, let's make sure you qualify to participate...

Please note: This training is ONLY for individuals with I/DD. Parents and professionals interested in training opportunities should look at applying for ALP NC:
1. Do you meet the Peer Mentor Training Program requirements? Reasonable accommodations will be provided.  
Space Cell YesNo
Do you have an intellectual and/or developmental disability?
Are you 18 years or older?
Do you live in NC?
Are you familiar with community intellectual and developmental disabilities community resources (Waivers, LME-MCOs, etc.)?
Are you familiar with and able to use technology, including Zoom, Microsoft Word, and email?
Do you have a high school diploma, special certificate or equivalency from an approved, accredited institution?
 Let's get your information...
6. Please specify your developmental disability (or disabilities) *This question is required.
  • * This question is required.
7. Education Level *This question is required.
8. Which of the following best describes you? *This question is required.
9. Do you receive services through your local LME-MCO, such as Medicaid Waiver or B3 services? 
The training sessions will be held weekly on Tuesdays from 11-1 pm on the following dates: 
  • April 5
  • April 12
  • April 19
  • April 26
  • May 3
  • May 10
  • May 17
  • May 24
  • May 31
  • June 7
  • June 14
  • June 21
10. Are you able to attend all training sessions? 

If selected to participate, you will be required to actively participate in class and complete activities outside of class. These responsibilities include: 

  • Attend and participate in all training sessions
  • Complete and turn in weekly homework assignments
  • Complete pre and post-tests for each lesson
  • Complete pre and post-training evaluations
We estimate this will take approximately one hour per week outside of class time. If selected, do you commit to completing all required activities? 
Finally, tell us your motivation for applying for the program...

Please note: These answers will be evaluated by a committee to see if you move on to the interview process.