Employment 1st Academy

Annual Strategic Training Plan Survey

1. Please answer the following questions based on your current role.

We are interested in your feedback regarding employment training interests and needs across the state. Your participation will assist in designing a training program to meet stakeholder needs and promote outcomes for employment services recipients across North Carolina. Feel free to share the survey link with colleagues. Thank you!

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* 1. I provide the following service:

Supported Employment

Transitional Employment

Sheltered Workshop/ADVP

Pre-Employment Transition Services

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* 2. I support/provide services to people with:

Intellectual/Developmental Disabilities

Physical Disabilities

Visual Impairments

Deaf and Hard of Hearing

Mental Illness

Substance Use

Co-Occurring MI/SU

Co-Occurring MI/IDD

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* 3. Please rate the following training subjects based on interest/benefit to you:

	Not interested	Somewhat interested	Extremely Interested
Finding jobs for people with criminal histories	Finding jobs for people with criminal histories Not interested	Finding jobs for people with criminal histories Somewhat interested	Finding jobs for people with criminal histories Extremely Interested
Expungement/Certificate of Relief	Expungement/Certificate of Relief Not interested	Expungement/Certificate of Relief Somewhat interested	Expungement/Certificate of Relief Extremely Interested
ABLE ACT	ABLE ACT Not interested	ABLE ACT Somewhat interested	ABLE ACT Extremely Interested
Benefits Counseling: PASS Plans/IRWEs	Benefits Counseling: PASS Plans/IRWEs Not interested	Benefits Counseling: PASS Plans/IRWEs Somewhat interested	Benefits Counseling: PASS Plans/IRWEs Extremely Interested
Data Collection/Analysis	Data Collection/Analysis Not interested	Data Collection/Analysis Somewhat interested	Data Collection/Analysis Extremely Interested
Assistive Technology	Assistive Technology Not interested	Assistive Technology Somewhat interested	Assistive Technology Extremely Interested
Psychiatric Rehabitation	Psychiatric Rehabitation Not interested	Psychiatric Rehabitation Somewhat interested	Psychiatric Rehabitation Extremely Interested
WRAP-Wellness Recovery Action Plans	WRAP-Wellness Recovery Action Plans Not interested	WRAP-Wellness Recovery Action Plans Somewhat interested	WRAP-Wellness Recovery Action Plans Extremely Interested
WMR-Wellness Management & Recovery	WMR-Wellness Management & Recovery Not interested	WMR-Wellness Management & Recovery Somewhat interested	WMR-Wellness Management & Recovery Extremely Interested
Working with Natural Supports	Working with Natural Supports Not interested	Working with Natural Supports Somewhat interested	Working with Natural Supports Extremely Interested
National Certification Exam Preperation	National Certification Exam Preperation Not interested	National Certification Exam Preperation Somewhat interested	National Certification Exam Preperation Extremely Interested
Peer Support Specialists: Role and Supervision of	Peer Support Specialists: Role and Supervision of Not interested	Peer Support Specialists: Role and Supervision of Somewhat interested	Peer Support Specialists: Role and Supervision of Extremely Interested
Successful Collaboration with Employment Behavioral Health Treatment Teams	Successful Collaboration with Employment Behavioral Health Treatment Teams Not interested	Successful Collaboration with Employment Behavioral Health Treatment Teams Somewhat interested	Successful Collaboration with Employment Behavioral Health Treatment Teams Extremely Interested
Supported Education	Supported Education Not interested	Supported Education Somewhat interested	Supported Education Extremely Interested
Job Development	Job Development Not interested	Job Development Somewhat interested	Job Development Extremely Interested
Building Employer Relationships	Building Employer Relationships Not interested	Building Employer Relationships Somewhat interested	Building Employer Relationships Extremely Interested
Long Term Follow-Along Plans	Long Term Follow-Along Plans Not interested	Long Term Follow-Along Plans Somewhat interested	Long Term Follow-Along Plans Extremely Interested
Psychiatric Advance Directives	Psychiatric Advance Directives Not interested	Psychiatric Advance Directives Somewhat interested	Psychiatric Advance Directives Extremely Interested
Surviving Fidelity Reviews	Surviving Fidelity Reviews Not interested	Surviving Fidelity Reviews Somewhat interested	Surviving Fidelity Reviews Extremely Interested
Co-Occurring Disorders: Symptoms and Interventions	Co-Occurring Disorders: Symptoms and Interventions Not interested	Co-Occurring Disorders: Symptoms and Interventions Somewhat interested	Co-Occurring Disorders: Symptoms and Interventions Extremely Interested
Policy and Advocacy	Policy and Advocacy Not interested	Policy and Advocacy Somewhat interested	Policy and Advocacy Extremely Interested
Community resources	Community resources Not interested	Community resources Somewhat interested	Community resources Extremely Interested
Boundaries, Ethics, Dual relationships	Boundaries, Ethics, Dual relationships Not interested	Boundaries, Ethics, Dual relationships Somewhat interested	Boundaries, Ethics, Dual relationships Extremely Interested

Other (please specify)

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* 4. I am interested in the following training platforms:

Full-day, in-person training

Half-day, in-person morning training

Half-day, in-person afternoon training

Lunch-n-learn trainings

Live Webinars

Recorded, self-directed trainings

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* 5. I am able to:

Travel within a 2 hour distance

Travel to include overnight stays

Only travel for local trainings

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* 6. In addition:

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* 7. I work for the following:

Advocacy Organization

DPS/School System

LME/MCO

Parent/Family Member/Natural Support

Provider Agency

Self-Advocate

Other

Other (please specify)

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* 8. I am a member of NC APSE

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* 9. Your contact information is appreciated! We will add you to our mailing list so that you can stay up to date on upcoming Employment 1st Academy training.

Name

Company

Address

Address 2

City/Town

ZIP/Postal Code

Email Address

Phone Number