Training and Support needs - Family Resource Network, Inc.
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Please take a moment to let us know what YOUR needs are in raising your child with special needs. The Family Resource Network, Inc. is a parent run, parent driven family support organization that is here for YOU! Please let us know what type of information and support would be helpful to you.

1. My child has a:

My child has a: Developmental Disability

Mental Health Disability

Special Health Care Need

Learning Disability

Not sure

*
2. I am interested in learning more about:

I am interested in learning more about:

3. I have heard/heard of a speaker that I would recommend or be interested in hearing - Please recommend a speaker or topic of interest.

I have heard/heard of a speaker that I would recommend or be interested in hearing - Please recommend a speaker or topic of interest.

4. I would be interested in attending a support group for:

I would be interested in attending a support group for:

5. I live in the following county:

I live in the following county: Broome

Chenango

Delaware

Otsego

Tioga

Tompkins

6. If you'd like to attend trainings or support group meetings which of the following would you need?

If you'd like to attend trainings or support group meetings which of the following would you need? Need childcare

Need assistance with mileage

On-line trainings

None of the above

7. The best time of day for a training for me is:

The best time of day for a training for me is: Daytime

Evening

Either

8. To better support my child/young adult at home I need:

To better support my child/young adult at home I need:

9. If you'd like to be added to our newsletter and/or e-mail distribution list please provide your contact information

If you'd like to be added to our newsletter and/or e-mail distribution list please provide your contact information Name:
Company:
Address:
Address 2:
City/Town:
State:
ZIP:
Country:
Email Address:
Phone Number:

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Training and Support needs - Family Resource Network, Inc.Exit this survey