Texas Parent to Parent
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Providing support and information to families of children with disabilities, chronic illness and other special health care needs

Why Become a Supporting Parent Volunteer?

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Do you ever feel like you would like to make life easier for another parent just starting out on this journey? Or that you’ve learned so much about the disability world that you should get into the business of helping other parents?If you have, we need you!  We need Supporting Parent volunteers to provide emotional support, information, and guidance to parents who are either new to this world or new to the issue that they are facing.  We will provide training, let you know what we expect from you, and what you should expect from the experience of helping another parent  You decide when and how often you want to be matched - we encourage you to say no if the timing is not right for you. We’ll always be available to help you in supporting another parent.

 

Research has shown that an overwhelming majority of parents report that parent to parent support helps.  It can provide parents with the following:

·         Someone to listen and understand

·         Information about the disability, illness or special need

·         Information about community resources

·         Information about caring for a child with special needs

·         Help with referrals to other agencies

·         Help with problem solving 

If you would like to become a Supporting Parent Volunteer, please fill out the registration form below and submit it to us, either via email by hitting the submit button or print this page and mail it to us; whatever is easiest for you.  You do not have to fill out any information you are not comfortable giving us.  All information will be kept highly confidential.  One of our staff will contact you about training opportunities in your area .
This will also get you registered on our mailing list to receive our quarterly newsletters and conference information.

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Toll free:
866-896-6001
Austin:
512- 458-8600
Rio Grande Valley:
956-447-5568
Fax: 512-451-3110

Date:

Martial Status: Married Single Divorced Widowed Separated

Name:

Address:

City: County:

State: Zip Code:

Phone: Home: Cell:

Work (if it is okay to receive calls there):

Email address:

Newsletter: How would you like to receive our newsletter? U.S. Mail Email YahooGroup

Would you like to join one of our Listservs? Local area Listserv Advocacy Listserv

ADD/ADHD Listserv Autism Listserv Bipolar Listserv Homeschooler Listserv ECI Listserv

Occupation:

Hobbies/Special Interests:

Relationship with child with disability: Parents Mother Father Grandparent

Sibling Guardian Other:

Languages you speak other than English: Spanish Sign Language Other

Family Ethnicity: Multiracial African-American Asian-American Caucasian

Hispanic Native American Other:

Why do you want to be a volunteer and support other parents:
Do you want to support another parent as a Supporting Parent Volunteer?: Yes No

Do you want train Medical Residents as a Family Faculty for our MEd Program? Yes No

Do you want to be trained to provide trainings for parents and professionals through our Family to Family Health Care Information and Education Center? Yes No

INFORMATION ON INDIVIDUAL WITH SPECIAL NEED:

Name:

Date of Birth: Age:

Gender: Female Male

Child Ethnicity: Multiracial African-American Asian-American Caucasian

Hispanic Native American Other:

Please list all diagnosis/symptoms/etc.:

For us to understand more about your child, please indicate the level of function in each of the following catergories. For example, under cognitive, you might list "typical", "mild mental retardation", or "unknown".

Cognitive:

Mobility:

Behavior:

Speech/Communication:

Vision:

Hearing:

Toileting skills:

Eating skills:

Special equipment:

Other comments:

School program and school district OR daytime activities:

Siblings:

Name: Date of Birth:

Any special needs:

Name: Date of Birth:

Any special needs:

Name: Date of Birth:

Any special needs:

Name: Date of Birth:

Any special needs:

Where did you hear about Texas Parent to Parent? ECI Program School Agency

Phone Book Another parent Parent Group TxP2P flier or newsletter Internet

Other:

Last Updated:
February 18, 2008
Find out about parent to parent programs in other states or to find out how to start a parent to parent program in your state, go to Parent to Parent USA! www.p2pusa.org Parent to Parent USA
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