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PARTNERS IN POLICYMAKING™


Partners in Policymaking Graduating Class D

Partners Make A Difference!



What is “Partners in Policymaking”?



Partners in Policymaking is a project of the South Carolina Partnership of Disability Organizations and is administered by PRO-Parents. The PIP project is funded through a grant from the South Carolina Developmental Disabilities Council.



Who is “Partners in Policymaking” For?


(* see Disabilities Definition below.)



What Does “Partners” Cost?



What Is My Role As A “Partner”?


Attendance at ALL sessions is mandatory.
Only individuals selected to participate in Partners in Policymaking
will be able to attend.



What Topics Will Be Addressed?



Partners in Policymaking advocating to the South Carolina LegislatureD
Partners in Policymaking Class Rountable DiscussionD

“Partners enabled me to get the appropriate services for my son and to become involved in various advocacy groups.”

- Beth Dombek
1998 Partners Graduate



Individuals selected to participate in Partners will be notified by mail.
For additional information, please contact:

PRO-Parents
652 Bush River Road, Suite 203
Columbia, SC 29210
Phone (local): (803) 772-5688
Toll Free: 1-800-750-4776



Disabilities Definition

Autism, Brain Injury, Mental Retardation, Spinal Cord Injury, and Related Disabilities


  1. A developmental disability is a severe, chronic disability of a person which is-
    1. attributable to a mental or physical impairment or a combination of mental and physical impairments;
    2. apparent before the person reaches age twenty-two;
    3. likely to continue indefinitely;
    4. results in substantial functioning limitations in three or more of the following areas of major life activities:
      • self-care
      • learning
      • communication
      • self-direction
      • independent living
      • mobility
      • economic self-sufficiency
    5. requires the need for lifelong individually planned and coordinated services
  2. A Brain (head) and spinal cord injury is-
    1. attributed to a physical impairment, including head injury, spinal cord injury or both, or a similar disability;
    2. regardless of age of the onset;
    3. not associated with the progressive degenerative illness or dementia, or a neurological disorder related to aging;
    4. results in substantial functioning limitations in two or more major life activities
  3. A Related Disability is- a “severe” chronic condition (cerebral palsy, epilepsy, visual / hearing impairment or other condition, other than mental illness) which results in impairment of intellectual functioning or adaptive behavior and requires treatment or services similar to that required of a person with developmental disabilities.


~ ON-LINE REGISTRATION ~

If you need help with completing this form or if you need an alternative format,
please call (803) 772-5688 or Toll Free 1-800-750-4776

PLEASE COMPLETE ENTIRE APPLICATION








()

()




ARE YOU: MALE FEMALE



[Above information requested to ensure balanced representation of race / ethnicity and gender]



1. Are you a person with a disability? YES NO / /



2. Are you a parent of a son / daughter who has a disability? (Please answer for each child if you have more than one child with a disability. See disabilities definition.)
YES NO / /

If YES,

A. What is your child’s disability or disabilities:

B.

C.

D.

E. YES NO
F. YES NO


3.



4.



5. If selected to participate in the Partners in Policymaking training program,


I WILL:
  • Travel to Columbia to attend the regularly scheduled training sessions?

  • (Reimbursement for mileage is available.)
YES NO
  • Make a commitment to attend 2-day training sessions, held once a month for five months (Friday afternoon / evening & all day Saturday)?
YES NO
  • Complete all homework assignments?
YES NO
The training sessions are FREE. Meals, hotel and travel expenses will be paid by the PIP project.


6. Are there any special accommodations necessary for you to participate in this program?

YES NO

If YES,


These accommodations will be provided by PIP project at NO COST to the participant, if necessary.


7.

(Membership in other organizations is NOT a requirement.)


8.



9.



Please list two references. Include names, addresses and phone numbers:







~ To request a hard copy of this registration form to fill out and mail in, please contact: ~

PRO-Parents
652 Bush River Road
Suite 203
Columbia, SC 29210
Phone (local): (803) 772-5688
Toll Free: 1-800-759-4776
Fax: (803) 772-5341
E-mail: PROParents@proparents.org


Partners in Policymaking

c/o The South Carolina Partnership of Disability Organizations
PRO-Parents
652 Bush River Road, Suite 203
Columbia, SC 29210



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