Web Intakes - P2P of PA

Become a Peer Supporter

Thank you for your willingness to become a Parent to Parent of PA Peer Supporter! Please complete and submit the information below. Once your form is submitted, a Regional Coordinator will contact you by phone to personally explain our program. This call helps to ensure that you understand our program and your responsibilities as a Peer Supporter. Please be aware that you will not be listed as a Peer Supporter until a Parent to Parent of PA Regional Coordinator has spoken to you directly.

Are you an agency filling this out? click here

Demographics

Prefix

First Name

Middle Name

Last Name

Contact Details

Primary Phone

x Ext.

Other Phone

x Ext.

P2P E-mail List

YesNo

Preferred contact method

How can we help?

Line 1

Line 2

City, State

Zip

County

P2P Mailing List

YesNo

Interested in learning more about...

Be Strong Families: Parent Cafes

P2P of PA hosts Parent Cafes for Pennsylvania families who have young children (ages 0 to 5) receiving Early Intervention or Home Visiting/Family Supports Services. Parent Cafes use structured, small group conversations to facilitate transformation and healing within families, build community, develop peer-to-peer relationships, and engage families as partners in the programs that serve them. Parent Cafes are a chance to meet and talk with other families about the joys and challenges of parenting.

C2P2 EI: Competence and Confidence, Partners in Policymaking Early Intervention

C2P2EI is a leadership training program for families with children who receive Early Intervention services. C2P2EI provides up-to-date information on best practices, resources, and policy issues. C2P2EI participants learn about the Infant/Toddler and Preschool Early Intervention System, have opportunities to connect with other families and build their skills to advocate for their family and others.

P3D: Parents as Partners in Professional Development

P3D brings together families of children who have received Early Intervention services with opportunities to contribute to professional development. In certain instances, OCDEL is able to reimburse families for expenses and provide consulting fees for their time and experience.

By submitting this form you are agreeing to allow your information to be released to the Parent to Parent of PA program for further contact.