Rise and Shine Leadership Program 2021 application
This application is a chance for us to get to know you and why you are interested in joining the Rise & Shine Leadership Program. If possible, please take a few moments to answer the questions below. Be sure to provide your name and contact information so that we can respond to your application. If you need any assistance or have any questions about the application please contact Teresa Bachiller, Program Coordinator, at Teresa@risemagazine.org or at 305-791-7622

The Rise & Shine Leadership program is open to parents who have had personal experience with the child welfare system through NYC Administration for Children Services (ACS). This includes preventive services, court-ordered supervision and foster care (must be on final discharge or case closed).
Sign in to Google to save your progress. Learn more
Name *
Phone number *
Email address *
Why would you like to join the Rise & Shine Parent Leadership Program? What does becoming a leader for transforming child welfare mean to you? *
 In our writing workshop, participants will write a personal essay related to their child welfare experience. Are you interested in sharing your personal experience? What would you like to share about your experience? How will your story help other parents? *
In our public speaking workshop, participants will turn their stories into a speech. How do you feel about public speaking? What motivates you to speak publicly as a parent? What concerns do you have? *
The program will offer information about child welfare history, policy and practice. It will also cover topics related to abolishing the child welfare system. As a parent, this will help you lift your voice through leadership and advocate for strengthening our communities. What topics do you want to know more about and why? *
The program will offer information about trauma, stress and healing. These topics could bring out difficult feelings. How can the Rise team support you through this process? *
Due to COVID-19 pandemic,  Rise staff are working remotely until further notice. This coming year we will be hosting the R & S leadership Program online. Is that something that is possible and comfortable for you?  If needed, Rise will provide chromebooks. *
"The program will run 3 days each week (Tuesday, Wednesday, Thursday) for 2 hours (10 a.m. - 12 p.m. for 18 weeks (February - June 2021). Do you anticipate any barriers to participating virtually via-zoom throughout the entire program."
Please feel free to share more information about yourself and your areas of interest.
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of risemagazine.org. Report Abuse
Google Forms