Are you a:
Parent Grandparent Sibling Person with a disability Other Family Member Type
How long have you lived in the area?
Formal education (highest year of school completed)?
Are you or your spouse in the military?
If yes, which branch?
Do you speak a foreign language?
If yes, which languages?
Do you use American Sign Language?
Do you have reliable transportation?
Do you have regular access to the Internet?
Are you currently employed?
Employed by (if employed)
Brief description of your work (paid or volunteer experience)
Please indicate trainings/workshops/certifications/conferences that have had an impact on terms of your knowledge in the disability field and how they might relate to the Family Navigator role
Age of family member with a disability
Disability(ies) of family members, including yourself
All of us have busy lives. When a family calls for help, the CFI strives to match then with a Family Navigator who makes initial contact with the family within 48 hours. The Family Navigator is expected to make contact with the family a few more times over a 4 week period. Please describe your flexibility during the day, evening and weekends. Add anything that might make it difficult to be completely flexible
What do you consider to be your area(s) of expertise in terms of supporting people with disabilities? For example, SSI, IEPs, Behavior supports
What strengths and abilities do you have that would make you a good Family Navigator?
What information was helpful to you in making decisions about your own family member, and how did you find that information?
Please briefly summarize your experiences in supporting people with disabilities and their family members.
There is an initial face-to-face, 8-10 hour skill building training required for Family Navigators. This often takes place on a Friday night and Saturday. There is also additional training required throughout the year. Are you prepared to attend the initial face to face training?
Are you able to participate in on-going training throughout the year that could be in person or via the internet?
Below are topics related to the values of the Center for Family Involvement. Which of them would you like to learn more about?
~ Cultural sensitivity (knowing your own cultural identity and being sensitive to the cultural differences and similarities of other people) Yes No
~ Diversity (understanding that each individual has multiple identities, is unique, and recognizing our individual differences) Yes No
~ Person-Centered (a way of thinking and doing things that sees the people with disabilities as equal partners in planning, developing and monitoring care to make sure it meets their needs) Yes No
~ Supported Decision-Making (supporting people with disabilities to make decisions and exercise their legal rights) Yes No
~ Self-Determination (people with disabilities have the right and freedom to direct and control their own life) Yes No
Are you willing to commit to one year of volunteer service for at least five hours a month?
Do you consent to a routine criminal records check to be paid for by VCU?
Please attach letters of reference from two people who know you, other than relatives, who could speak to your ability to be a Family Navigator.