Empower SCI New York: Peer Mentor Application
Application as a Peer Mentor for the two-week residential program at Stony Brook University.
Please complete and submit this form by May 1.
Notification of acceptance: June 1.
NY Staff Training: July 11 and 12, 2020
NY Program Dates: July 12 to 25, 2020
Note: if you require >3 hours of personal care assistance, please arrange caregivers to provide your personal care. Empower SCI will pay for the room and board for both peer mentor and one personal care assistant.
Consider listing your "personal" email address here instead of a school or business account. Because of our volume of applicants, responses to school and business based emails are occasionally flagged as spam in our responses.
Please include an area code
What is your T-Shirt Size?
What age will you be at the start of the program?
Please enter the whole number age (years) you will have attained by program start date: New York 07/12/2020. Example: "20".
Are you also interested in applying to volunteer at the Montana program?
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