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Submit a Request for Family Support, Training or Mentoring

 

English - complete the form below
Spanish - complete contact form

 

When you submit a request, you will receive an email confirmation that will include a list of our most popular resources for your immediate review. 

Use the form below to:

1.Contact a Family Support Specialist*

Professional assistance, guidance, resources and support with Education, Healthcare, other disability related needs. 

*Please Note: 
During times of high call volume, follow-up contact from our Family Support Staff may take more than 7 business days.

2. Request training or attendance at a resource/exhibit fair

3. Request to match with or become a mentor

Connect and network with other parents, guardians and caregivers. Share your journey with one-on-one peer support.

Please complete the information below. All information submitted goes to a confidential database and will not be shared. We will contact you in the order that requests are received. It may take up to 7 business days during times of high volume. You will receive an email once you submit your request.

We will make at least 3 attempts to contact you which could include phone, text or email. By providing your contact information you understand that we may use that information to reach you.

Our Family Support staff will call you to discuss details of your intake.

Submit the information below about the individual that you are contacting ASK about.

We will make at least 3 attempts to contact you which could include phone, text or email. By providing your contact information you understand that we may use that information to reach you.

Our Family Support staff will call you to discuss details of your intake.

Professionals can use this section of the form to ask a Family Support Specialist for assistance or to refer a family or individual to ASK. If you choose for ASK to contact the family or individual directly, we will not be able to disclose any information without a signed release.

We will make at least 3 attempts to contact you which could include phone, text or email. By providing your contact information you understand that we may use that information to reach you.

Submit the information below about the family/ individual that you are contacting ASK about.

Our Family Support staff will call you to discuss details of your intake.

Our Family Support staff will call you to discuss details of your intake.

By providing your contact information you understand that we may use that information to reach you.

We will make at least 3 attempts to contact you which could include phone, text or email. By providing your contact information you understand that we may use that information to reach you.

Our Family Support staff will call you to discuss details of your intake.

Become an ASK Each Other Mentor

ASK Each Other Mentors share lived experiences about disability with others. Mentors share stories, answer questions, provide unbiased information, share community connections and give emotional support. Free training is provided along with opportunities to connect and learn with other mentors.

Who can become a Mentor?
1. a Parent, Guardian/Caretaker, or Sibling of a person with a disability or special health care need
OR
2. an Individual with a Disability or special health care need

Steps to become a Mentor

A Family Support Specialist will contact you by phone or email to discuss completing the following:
1. Conflict of Interest form
2. Mentor Information form
3. ASK Each Other Mentor Training
4. Background Check

For questions or to become a mentor, complete the information below.

We will make at least 3 attempts to contact you which could include phone, text or email. By providing your contact information you understand that we may use that information to reach you.

Our Family Support staff will call you to discuss details of your intake.

By providing my contact information, I acknowledge and give my explicit consent to be contacted via SMS. Message and data rates may apply. Message frequency may vary. Reply STOP to opt out.