I want to apply for a CDAH Peer Mentor
Application Form

CDAH, Community Disability Alliance Hunter, is a user led disability support organisation, run for and by people with disability.
At CDAH, we believe in the power of Peer Support. We believe that people who have shared experiences can offer great support to others who are about to go on a similar journey. Peer Mentor's at CDAH can provide one-to-one peer support and guidance to people who have a specific goal to get the most out of the mentoring relationship.

To apply for a CDAH Peer Mentor, please answer all the questions below.
If you need help to answer these questions, you can ask a friend, family member, advocate or a support worker to help.
You can also contact us if you need help to fill in the application form. We can answer any questions you have.
Call/SMS:        0490 053 454
Email:              info@cdah.org.au

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* 1. Your details?

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* 2. I am a:

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* 3. If you need any support to participate, please let us know:

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* 4. Why I’m looking for a Mentor
The change I like to make that I think a Peer Mentor can help me with are:

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* 5. You have up to 5 sessions with your Mentor, which change would you like to work on first?

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* 6. My Mentor preference:
I have looked at the Mentor profiles at http://www.cdah.org.au/peer-mentoring
Who would you like to choose as your Peer Mentor and why?

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* 7. I understand that CDAH Peer Mentors are not professionally trained counselors and are offering their time and skills to further support the CDAH Peer Movement. I agree to fully participate in the CDAH Peer Mentoring Program as outlined in the Peer Mentor Guidelines. You can find the guidelines at the bottom of the page here: http://www.cdah.org.au/peer-mentoring

Thank you for your application.  We will be in touch with you shortly.  Kind regards,
The CDAH Team

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* 8. Do you require any support needs, and if so what will you need? (if it is transport assistance please also contact CDAH so we can organise something)

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* 9. the best way to contact me is

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