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Peer-to-Peer Mentor/Trainer Application

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Request Form | Volunteer Form

Florida is developing a corps of professional mentors and trainers to assist community anti-drug coalitions in mobilizing their communities for positive change.

Mentor/Trainers invited to participate in 2006 will receive free training in the Five Steps of the Strategic Prevention Framework Those who are successful and receive certification will be paired with developing coalitions for up to two years. Participants will receive travel reimbursement and an honorarium for their work.

If selected you will be required to sign a personal contract to assure your availability for training and mentorship. Your services will be needed for a minimum of two years. Continuing education will be provided to successful mentor/trainers.

If you would like to be considered for this program, please complete this application. You will need to be available April 11-14, 2006 for the initial round of training.

Name:	Title:
Agency/Coalition:
Address:
Phone:	Fax:
Email:

Please indicate any areas where you currently have expertise. (Check all that apply.)
Step 1: Assessment Data Collection and analysis Surveys/Researchers Technology and Computer Management
Step 2: Build Capacities Administration and Financial management Community organization Cultural competency Board Recruitment and retention/Volunteer Recruitment
Step 3: Strategic Planning Resource development for coalitions including funding Environmental strategies Coalition Sustainability
Step 4: Implementation of Policies/Practices and Programs (PP& P) Selection and implementation of evidence based programs Social marketing Prevention Activities/strategies
Step 5: Evaluations/Monitor Development and implementation of evaluation plans Quality assurance and improvement

If selected, is there one specific Step or subject area that you would like to focus for your training and for providing assistance to Florida's coalitions?

Please specify:

References:
1. Name:	Phone:
2. Name:	Phone:
3. Name:	Phone:

The Mentor/Trainer Leadership Corps is being coordinated with the Center for Prevention Research at Florida State University and the Florida Alcohol and Drug Abuse Association. It is part of the Florida Coalition Training Academy, a project of the Florida Substance Abuse Prevention Advisory Council and funded by the Department of Children and Families with a grant from the Center for Substance Abuse Prevention.

For technical assistance with SPF SIG projects contact Mae Waters or for additional information you may also contact Senta Goudy. Contact information is as follows.

Mae Waters, Ph.D, CHES
Institute of Science and Public Affairs
Florida State University
2035 East Paul Dirac Drive
Suite 128 Morgan Building
Tallahassee, Florida 32310-2770
(850) 645-1456 OFFICE

Senta Goudy
Director of Prevention
Florida Alcohol and Drug Abuse Association
2868-1 Mahan Drive
Tallahassee, FL 32308
(850) 878-2196 OFFICE


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