Creative Approach Development Center
2819 N. Parham Rd. Suite 150, Richmond, VA 23294
Family & Caregiver Training Referral Form
To begin the intake process to participate in Family & Caregiver Training, fill out the form below. Please keep in mind that completing is the first step in the enrollment process and that access to trainings and workshops may take up to six weeks to begin.
Parent/Caregiver interested in training/workshops
*
Parent/Caregiver email address
*
example@example.com
Initials of Family & Individual Support (FIS) waiver recipient
*
Case Manager/Support Coordinator for waiver recipient
*
Case Manager/Support Coordinator email address
*
example@example.com
County waiver recipient lives in
*
Parent/Caregiver is interested in completing training/workshops in which formats (check all that apply)
*
In-person
Online asynchronous (enrolls in class and works at their own pace)
Online Synchronous (attends/works with a group on a set day and time)
Parent/Caregiver is interested in receiving training in the following topics (check all that apply)
*
Understanding various intellectual and developmental disabilities (IDD)
Understanding various mental health diagnoses
Behavior management
Future planning
Supporting a loved one with IDD with transitioning and growing up
Advocacy
Self-care
Planning & Organizing
Supporting a loved one with communication barriers
Creating positive environments
Supporting a loved one with academic performance
Supporting a loved one with relationships and boundaries
Managing your loved one's team (medical, academic, social, etc.)
Teaching new life skills to a loved with with IDD
Other
If other was selected, please type the topic below
Does the parent/caregiver require communication or any other accommodations to actively participate in training/workshops? (speech device, larger print materials, interpreter, etc.)
*
Yes
No
Not sure
If yes was selected, please explain
Submit
Should be Empty:
Now create your own Jotform - It's free!
Create your own Jotform