
Get the free Coordination and Support Person ALA Nomination Form 2015
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Bayside, Glen Era and Kingston Region
2015 Applied Learning Awards
The Jenny Marks Memorial Award for Coordination and Support
Nomination Form
The Applied Learning Awards celebrate achievement in
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How to fill out coordination and support person

How to fill out coordination and support person:
01
Start by providing the necessary personal information of the coordination and support person, such as their full name, contact details, and relationship to the individual requiring coordination and support.
02
Specify the role or purpose of the coordination and support person in relation to the individual requiring assistance. This may include tasks such as scheduling appointments, providing transportation, or communicating with healthcare providers.
03
Indicate the duration or frequency of the coordination and support person's involvement. This could range from temporary assistance for a specific event or time period to ongoing support for daily activities.
04
Describe any specific skills, qualifications, or certifications that the coordination and support person possesses, if applicable. This can help ensure that the individual assigned is well-equipped to fulfill their responsibilities effectively.
05
Provide any additional details or instructions about the coordination and support person's responsibilities. This may include guidance on accessing necessary resources, coordinating with other individuals involved in the care or support network, or any specific preferences or requirements.
06
Sign and date the form to indicate your acknowledgement and agreement to the terms outlined.
Who needs a coordination and support person:
01
Individuals with disabilities or special needs who require assistance in navigating their daily lives.
02
Elderly individuals or those with limited mobility who may need support in managing their daily activities, healthcare appointments, or social engagements.
03
Individuals with chronic illnesses or conditions that require ongoing coordination of care and support services.
04
Families or caregivers of individuals with complex medical or developmental needs who may benefit from additional support and coordination.
05
Individuals undergoing significant life transitions, such as recovering from surgery or adjusting to a new diagnosis, who can benefit from having a designated person to help them navigate these changes.
Note: The specific need for a coordination and support person can vary greatly depending on individual circumstances, so it is essential to assess each situation on a case-by-case basis to determine the most appropriate level of support.
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What is coordination and support person?
Coordination and support person is a designated individual who provides assistance and guidance to a person with disabilities in order to help them navigate and access support services.
Who is required to file coordination and support person?
The person with disabilities is required to file coordination and support person.
How to fill out coordination and support person?
To fill out coordination and support person, the individual with disabilities must provide information about their designated support person, including their name, contact information, and relationship to the person.
What is the purpose of coordination and support person?
The purpose of coordination and support person is to ensure that individuals with disabilities receive the necessary assistance and support to access services and resources effectively.
What information must be reported on coordination and support person?
The information to be reported on coordination and support person includes the name, contact information, and relationship to the person of the designated support person.
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