Youth Peer Advocate Leaders' (YPAL) CONNECT Question Title * 1. Please enter your contact information below. Name Company Address Address 2 City/Town State/Province ZIP/Postal Code Country Email Address Phone Number OK Question Title * 2. What region are you representing? Western Central Hudson River Long Island New York City OK Question Title * 3. How many Youth Peer Advocates does your agency currently have on staff? 0 1 - 2 3 - 5 6 - 9 10 + OK Question Title * 4. What are the primary responsibilities of the Youth Peer Advocates at your agency? (Check all that apply). Facilitating Youth Peer Support Groups (Community Setting) Facilitating Youth Peer Support Groups (Inpatient/Outpatient/RTF Setting) Providing one-on-one youth peer support to youth in the community Providing one-on-one youth peer support to youth in hospitals and/or out-of-home placements Planning & hosting social events for youth in your community Participation on committees/boards/etc. Other (please specify) OK Question Title * 5. What does supervision for Youth Peer Advocates look like at your agency? Describe below. OK Question Title * 6. What topics would you suggest we cover at our future YPAL CONNECT meetings? Check all that apply. group facilitation raising financial support for Youth Peer Programs team building activities for youth peer advocates developing strong community partnerships developing youth-guided treatment plans developing and sustaining youth advisory councils understanding youth culture self-care for youth peer advocates and supervisors supporting youth-led initiatives establishing healthy boundaries in the workplace supervising and supporting youth peer advocates providing reasonable accommodations in the workplace establishing and enforcing standards of professionalism in the workplace Other (please specify) OK Question Title * 7. Please indicate your availability for future YPAL CONNECT meetings. Check all that apply. (Note: The meetings will be held virtually via GoTo Webinar.) Monday AM Monday PM Tuesday AM Tuesday PM Wednesday AM Wednesday PM Thursday AM Thursday PM Friday AM Friday PM Other (please specify) OK Question Title * 8. How did you hear about YPAL CONNECT? YOUTH POWER! Website Facebook Email Flyer OMH Parent Adviser Regional Youth Partner Other (please specify) OK Question Title * 9. Will you be participating in the YPAL CONNECT meeting on October 29th at 12:00 PM? (Note: This meeting will take place virtually via GoTo Meeting/Webinar. You will receive a link to join the meeting from your computer or smartphone.) Yes No Unsure OK DONE