Please complete this application for Guidelight Group's upcoming independent facilitator trainings.

Remember, this application is not a test! You do not need to already be an expert to be an excellent fit for the coaching program. Your honest responses will allow us make sure that the course materials address your individual needs.

Contact and background information:

First name*

Last name*

Email*

Phone number*

Languages Spoken (other than English)*

Pronouns

she/her/hers, he/his/his, they/them/theirs, etc.

Mailing address (Only used to send your completion certificate)*

With which age group(s) do you intend to work as an independent facilitator?

Do you have a specialty (i.e., a specific special need, age group, certification or service)?

What is your connection to the disability community?

How did you hear about this program?*

What you already know about independent facilitation:

Indicate your level of knowledge of the Self-Determination Program (what the law says, how it is being implemented, the role of an independent facilitator, etc.):

Brand new to this

Basic understanding

Advanced knowledge

How experienced are you with navigating the regional center system?

I have experience beyond my my personal experience (committee/Board membership, professional connection, helping other families, etc.)

Not experienced yet

I have personal experience with my family member and my regional center

Have you attended an IPP meeting before?

Not yet

Yes- my own (my family member)

Yes- many for different people

Have you completed another independent facilitator training?

Yes

If yes, which one(s)?

Describe, in 1-2 sentences of your own words, the difference between the individual budget and the spending plan (it’s ok if you can’t, the intention is to gauge your understanding):

Have you attended a local advisory committee meeting at your regional center?

Yes

What is your familiarity with person-centered planning?

None

I have heard/read about it but never seen one done

I have some first-hand experience with person-centered planning (i.e., for a family member)

I have led or could lead a person-centered plan

Describe any training you have already received in the area of person-centered planning:

Scheduling and logistics:

Are you comfortable using the following tools: Zoom webinar, Google Drive (shared folders), Excel?

Yes

Somewhat

Comments about scheduling and availability:

What you hope to gain:

Why do you want to take this course and become an independent facilitator? What will you do and who will you help as an independent facilitator? *

What are your primary questions or areas of uncertainty, and what do you hope to get out of this program? (Be specific, this will help to tailor the course to your needs.)

Hint: The more thoughtful your response to this question, the more satisfied you will be with the program!

By checking this box, I acknowledge that I have read a description of the coaching program on the Guidelight Group website, and I understand that as soon as my application is accepted and the cohort meeting time confirmed, I will receive an invoice from Guidelight Group. My spot in the program is not secure until I make a payment.*

The Essential Independent Facilitator Training Program

Contact and background information:

What you already know about independent facilitation:

Scheduling and logistics:

What you hope to gain:

Agreement to pay: