MY THOUGHTS, MY ADVICE AND HOW IC AN HELP

							MY THOUGHTS, MY ADVICE AND HOW I CAN HELP

My name:
My county:
My organization:
My phone number:
My email address:
                  MY INTEREST AND MY EXPERTISE
What are the parts of the MFP effort that are you most passionate about
and have some experience in? Some ideas are below. Feel free to circle as
many as you want. Add additional items if you’d like.

The “mechanics” of the transition       Housing
process
                                        Assistive technology
Community building
                                        Long-term systems change
Peer mentoring
                                        Helping people tell their stories
Family support
                                        Others not listed:
Community outreach



    INFORMAL SUPPORT MY ORGANIZATION CAN PROVIDE THE
                                EFFORT
         (This doesn’t have to be a social service organization)

Please Circle All that Apply:
    Meeting space                            Database management
    Snacks                                   Helping develop outreach
    “Tech support”                            materials
    Taking notes at meetings                 Web design
    Pulling community members                Others not listed:
      together to talk about MFP
       INFORMAL SUPPORT I WANT TO PROVIDE THE EFFORT:
Please Circle All that Apply:
    I’m interested in talking to people in my community about MFP.
    I’m interested (as appropriate) in welcoming MFP participants back to
      my community.
    Things I love doing in my spare time that might help the effort (web
      design, cooking, etc.):
                         ________________
                         ________________
                         ________________




PLEASE FAX, EMAIL, HAND-DELIVER, DELIVER BY HORSEBACK, ETC. TO
              Trish Farnham, Money Follows the Person
                        Phone: 919-855-4274
                 E-mail: trish.farnham@dhhs.nc.gov
                         Fax: 919-733-2796