Part 4: Enrollment

If you wish to enroll now…

In order to be fully registered for a PowerUP! Institute, please complete the following electronic enrollment form. The form has a number of questions that you may want to review before beginning, so take a moment to look at all requested fields.  If you have any questions or comments regarding enrollment, please contact Patricia Reid:

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Patricia Reid

Mail: preid@n4a.org
Tel:
 202.872.0888
Fax: 202.872.0057

Click here to download a PDF of the Enrollment Form for easy reference.

Online Enrollment Form

Name of Person Completing Form:
Name of Organization:
Mailing Address:
Email:
Phone:
I am pleased to confirm our agency’s participation in the PowerUP! Institute Self-Directed Volunteer Teams™ training provided by The Aging Network’s Volunteer Collaborative and the Self-Directed Volunteer (SDV) Network™. Our agency is excited to take the next step in partnering with the growing talented 50+ population in order to best serve our communities. We are fully committed to the implementation of Self-Directed Volunteer Teams™ for our agency.

Our Commitment

  • We commit to complete a Readiness Assessment prior to submission of this enrollment
    Readiness Assessment Test
  • • Our Staff Representatives and Volunteers representatives will complete the Online Tutorial
    Online Tutorial
  • Our Staff Representatives and Volunteers will actively participate in the subsequent Webinar and Workshop respectively
    What to Expect After Enrollment
  • We commit to participate in post-training technical assistance offered by The Aging Network’s Volunteer Collaborative to help us finalize our project plans and get our projects underway.
  • We commit to providing brief updates on our project(s) every three months.

Staff Persons:
The following staff persons (minimum of two (2)) have been identified to participate in the one-hour training webinar for staff. If you have not identified all staff persons at this time, you may insert TBD. But please note that your enrollment will not be finalized until all persons have been identified. See what the role entails.

Key Staff Person 1
Name:
Position:
Email:
Phone:

Key Staff Person 2
Name:
Position:
Email:
Phone:

Key Staff Person 3
Name:
Position:
Email:
Phone:

Volunteers:
The following volunteers (minimum of two (2), maximum of three (3)) have been identified to participate in the in-person workshop for volunteers. If you have not identified all three volunteers at this time, you may insert TBD. But please note that your enrollment will not be finalized until all persons have been identified. See what the role entails.

Volunteer 1
Name:
Email:
Phone:

Volunteer 2
Name:
Email:
Phone:

Volunteer 3
Name:
Email:
Phone:

Issues Brief

As you prepare to implement self-directed volunteer teams in your organization, it is important that teams work on REAL issues/challenges for your organization. Please identify THREE critical issues or challenges in your organization for which you do not currently have the staff or other resources to address at this time. The issues could be ANYTHING that you would like to see accomplished in fulfilling the mission of the organization – issues could be operational, client focused, programs, etc.
After further consultation with you or your staff, one or more of these issues will be the basis of the self-directed volunteer team™ project.

For each issue below:
In the Description fields, please answer:

  • What problem/issue needs to be resolved?

In the Background fields, please answer:

  • Why does the issue exist/how did the issue originate?
  • What are the impacts of the issue?
  • Who is impacted by it?
  • What are the risks or ramifications of not resolving the issue?
  • What work has been undertaken around the issue and what are the results?

Issue #1:
Description

Background

Issue #2:
Description

Background

Issue #3:
Description

Background

Our expectation is that the training will include the following:

  • An online organizational readiness assessment
  • A pre-workshop webinar with Introduction to the Self-directed Volunteer Team concept
  • A one-day workshop with hands-on training and practical step-by-step “how-to’s”
  • A post-workshop webinar
  • One-on-one agency support with a designated coach from the SDVN
  • Access to the Self Directed Volunteer Network™ online community to document progress and access expert assistance, resources, tools and templates

Tutorial Completion Progress

This completes the tutorial. Let’s finish by going to the Tutorial Conclusion.