Family Navigator Application

The Center for Family Involvement is recruiting culturally and linguistically diverse family members to volunteer as Family Navigators. If you are interested in serving as a Family Navigator, please complete the following fields. If you do not have your 2 reference letters at the time of application submission, please email or fax them to Nickie Brandenburger at tnbrandenburg@vcu.edu or (804) 827-0107.

* = required field

Are you a:

ParentGrandparentSiblingPerson with a disabilityOther

If other


First Name *

Last Name *

Phone Number

Home Address

City

State

Zipcode

Your Email*

How long have you lived in the area?

Formal education (highest year of school completed)?

Do you speak a foreign language?YesNo

If yes, which languages?

Do you sign?YesNo

Do you drive?YesNo

Do you have regular access to a car?YesNo

Do you have regular access to a computer?YesNo

Do you have regular access to the Internet?YesNo

Are you currently employed?YesNo

Employed by (if employed)

Position

May you be called at work?YesNo

Brief description of your work (paid or volunteer experience)

Age of family member with a disability

Disability(ies)

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?

What does the word "collaboration" mean to you as it relates to children and youth with disabilities?

Please briefly summarize your experiences in supporting a family member with disabilities.

Are you willing to commit to one year of volunteer service for at least five hours a month?
YesNo

Are you able to attend a one and a half day skill-building training?YesNo

Do you consent to a routine criminal records check to be paid for by VCU?YesNo

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.