Ohio Ambassador Application
RequiredRequired Question(s)
Ohio Ambassador Series Application

Applications Due by 5:00 pm 11/06/2020

***Please note: If you are applying as a provider, county board employee, or from a family organization, we require a letter of support, submitted by the application deadline, stating your agency offers full support of your participation in this opportunity to complete this training and implement its use, as outlined in the expectations below. Please have that letter ready as you proceed with this application and you will have an opportunity to submit the letter as part of the application process. 


 

The Ohio Community of Practice (CoP) for Supporting and Empowering Families, led by a collaboration of Project Lead Partners (PLP) from the Ohio Department of Developmental Disabilities, Ohio Developmental Disabilities Council, the University of Cincinnati UCEDD at Cincinnati Children's Hospital Medical Center, and The Ohio State University Nisonger Center, seeks to increase the capacity and community of Charting the LifeCourse (CtLC) in Ohio. PLP is offering an Ohio CtLC Ambassador Training Series led by the LifeCourse Nexus at the University of Missouri- Kansas City.
 
Interested applicants should review the following information that outlines the purpose of the CoP for Supporting Families and CtLC within Ohio, the composition of the group and member responsibilities, and the review and selection process.
 
For anyone who would like to use an alternative application process (ie: large print text or paper application), please contact Tracey Manz, Nisonger Center at 614-293-2134 or Tracey.Manz@osumc.edu for assistance.
 
Purpose of Ohio CoP for Supporting Families 
Members of the Ohio CoP for Supporting Families strive to develop systems of support for families throughout the lifespan of their family members with intellectual and developmental disabilities (IDD).  CoP serves as a resource to connect with other people who support Ohioans with disabilities and their families throughout the state.
 
 
Purpose of Ohio CtLC Ambassador Training Series
The purpose of the Ohio training series is to expand CtLC work throughout the state
by providing a foundational understanding of the key principles of the CtLC framework, as well as introduce the application of the principles for a specific focus area and/or practice.

Training participants will: 
  • Gain an understanding of the CtLC key principles
  • Apply the key principles to a focus area or practice
  • Review examples of how CtLC is used around the country
  • Enhance and broaden their understanding of each CtLC principle
  • Increase confidence and capacity to champion the CtLC framework with a diverse group of stakeholders and audiences
  • Practice the use of the CtLC framework and tools specific to their role (e.g. as a family member, as a professional, etc.)
  • Increase confidence and competence to integrate the framework and tools into daily activities and sessions
  • Support others in using the framework and tools


 
The Charting the LifeCourse Ambassador Educational Series
What is the Ambassador Educational series?  

It is an opportunity to:
  • Enhance and broaden your understanding of each of the CtLC Framework Principles
  • Build your confidence and capacity to share the CtLC Framework Principles with a variety of stakeholders and audiences.
  • Learn ways to use the Charting the LifeCourse principles for strategic thinking

The series is NOT:
  • Training you to teach or train on a specific skill set or behavior through the lens of Charting the LifeCourse.
  •  A "train-the-trainer" (doesn't enable you to teach other Charting the LifeCourse trainers)
  • Open to the public - this is for invited participants ONLY (do not share links etc.)


 
Objectives of the Charting the LifeCourse Ambassadors Series
At the end of the series, participants will have the ability to:
  • Name each of the Charting the LifeCourse principles
  • Describe the key elements of each Charting the LifeCourse principles
  • Identify materials and tools to accompany each principle to assist with individual life planning and problem solving, as well as organizational troubleshooting and strategic planning
  • As a result of the series, participants will identify potential uses for the Charting the LifeCourse framework in their professional role

The Ohio CtLC Ambassador Training Series will train (15) individuals. 
These individuals will reflect a variety of lived experiences with disability across the lifespan, as well as Ohio's cultural and geographic diversity. 
 
Ohio CtLC Ambassador Responsibilities

Participation in the Ohio CtLC Ambassador Training Series includes an expectation that trainees will 
1. Commit to completing the training series
2. Fulfill the expectations upon completion of the training series, as outlined below:

Ohio CtLC Ambassador Training Series (Meeting every 2-3 weeks between January-April 2021)
  • Watch 7 taped webinars of approximately 20-60 minutes in duration each
  • Actively participate in 100% of 7 live virtual training seminars 90 minutes in length during business hours
  • Thoughtfully and thoroughly complete and submit 6 learning activities as well as complete related surveys within the required time frames. All participants of the Ohio CtLC Ambassador Training Series will need the following technology:
 
All participants of the Ohio CtLC Ambassador Training Series will need the following technology:
      • Computer/laptop with internet access
      • Webcam & microphone
      • Capacity to download/upload learning assignments
      • Ability to print documents
      • Headset (Strongly suggested, not required)

 

As a trained CtLC Ambassador you will be required to: 

  • Participate in at least 75% of quarterly CoP Meetings (attend 3 of 4 meetings per year).
  • Participate in at least 50% of the 1-hour monthly Ambassador Support meetings.
  • Be a 'Champion' for CtLC in Ohio sharing about the framework in meetings, conversations, groups, with families, etc. of which you are already a member.
  • Maintain updated contact information with the CoP.

Roles
  • Family Organizations: Implementing CtLC framework within agency to work in educating people with IDD and their families; teaching people with disabilities and their families about the CtLC framework.
  • Parents/Families: Be willing to serve as a parent/family mentor to other families seeking direct assistance with implementing the CtLC framework and tools within their lives.
  • Providers: Implementing CtLC framework within agency work in supporting people with IDD and families; educating colleagues, people with disabilities and their families about the CtLC framework
  • County Board or COG Representatives: Sharing CtLC framework with colleagues within County Board/COG system and service providers; implementing framework within service provision, including but not limited to One Individualized Service Plan (OISP) and assessment tools.
 

 
What is my financial investment? 
The standard fee for the Ambassador Series Course is $650.00. Through a generous grant from the Ohio DD Council, we are able to offer this training at a substantially discounted fee of $150 per person for all registrants.
 
For selected individuals who have applied as a family member or is a person with lived experience, there is an additional opportunity for a partial scholarship. Scholarship will be awarded by the PLP. If you are a family member or person with lived experience and would like to apply for scholarship, please click the link below to email Tracey Manz (Tracey.Manz@osumc.edu) a paragraph explaining why you should be considered for scholarship funds."

A group of professionals within the different PLP organizations will review and score all applications. Applicants will be selected based on their capacity to contribute to the reach and implementation of the CoP and CtLC; their capability to contribute to a diversity of experience with individuals with disabilities across the lifespan, as well as Ohio's cultural and geographic diversity.

 
Required 1.
Please enter the information indicated below.

First Name:
Last Name:
Work Phone:
Home Phone:
Email Address:
emailaddress@xyz.com
Address 1:
Address 2:
City:
State/Province
(US/Canada):
Postal Code:

Required 2.
Are you willing to meet the listed responsibilities of an Ohio CtLC Ambassador?
1. Commit to completing the training series
2. Fulfill the expectations upon completion of the training series, as outlined above
YES
NO
Required 3.

Ethnicity 

Hispanic or Latino
Not Hispanic or Latino
I do not wish to provide this information
Other  
Required 4.

Race: (Please choose all that apply)

Native American or Alaska Native
Asian
Native Hawaiian or Other Pacific Islander
Black or African American
White
I do not wish to provide this information.
Other  
Required 5.

What languages are you fluent in?

English
Spanish
ASL
Other  
Required 6.
What is the PRIMARY role of the Ohio CtLC Ambassador Series for which are you applying?
Please note: If you are applying as a provider, county board employee, or from a family organization, we require a letter of support, submitted by the application deadline, stating your agency offers full support of your participation in this opportunity to complete this training and implement its use, as outlined in the expectations above.
 

I am an employee of a family organization
I am a parent or family member of a person with IDD
I am a service provider
I am an employee of a county board of developmental disabilites or COG
Other  
Required 7.
What, if any, are the SECONDARY role(s) of the Ohio CtLC Ambassador Series for which you are applying? Select all that apply:
I am an employee of a family organization
I am a parent or family member of a person with IDD
I am a service provider
I am an employee of a county board of developmental disabilities
Not Applicable
Other  
8.
If you are a parent, guardian, or family member of a person with a disability please check the box or boxes that best describe your relationship with that person. Please select all that apply: 
Sibling
Parent
Grandparent
Non-Related Guardian
No relationship
Other  
9.
If applicable, please indicate the age of the family member(s)/clients who has (have) a disability. Please choose all that apply: 
Age 0-2 years
Age 3-5 years
Age 6-16 years
Age 17-21 years
Age 22-64 years
Age 65+
10.
Describe your lived experience as a family member of a person with a disability or as a service provider/county board/COG representative.

 

1000 characters left.
Required 11.
Why do you want to be an Ohio CtLC Ambassador?

 

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Required 12.
How much experience do you have with CtLC and its framework? (Limited exposure/usage of CtLC will not exclude you from consideration.)

No previous exposure to the framework.
Limited exposure to the framework.
I am reasonably familiar with the framework.
I am very familiar with the framework.
  • Comment:

  • 500 characters left.
Required 13.

Tell us about your familiarity with the CtLC tools: (Limited exposure/usage of CtLC will not exclude you from consideration.)

I know nothing about the tools
I have seen/heard of the tools before
I have used the tools before
I use the tools frequently
  • Comment:

  • 500 characters left.
Required 14.
What are your connections to people and families in the disability community, including employment, clubs, groups, work, or volunteer activities, and how might you leverage these connections to support the CoP and CtLC work in Ohio? What experience do you have as a 'leader' within these groups and communities?
 

 

1000 characters left.
Required 15.
The Ohio CoP for Supporting Families reflects a variety of lived experiences with disabilities across the lifespan as well as Ohio's cultural and geographic diversity. Please describe what experiences you will bring in these areas as an Ohio CtLC Ambassador and member of Ohio CoP for Supporting Families.
 
 

 

1000 characters left.
Required 16.
What other unique experiences, perspectives, expertise or passions will you offer the CoP and sharing of the CtLC Framework?

 

1000 characters left.
17.

If there is anything else you would like us to know, please share it here.

 

1000 characters left.
Thank you for completeing this application. Notifications and/or follow up will be received by no later than Monday December 7th.