Advocacy Education Course Online Application

Advocacy Education Course Application

Please note: This is an application for AU's Advocacy Education Course. If you are looking for information about or to apply for the Recovery University Training and Certification program, see Recovery University.

Applying for the Course
Advocacy Unlimited, Inc. is proud to offer one of the most comprehensive training courses in the nation for people with or in recovery from psychiatric disabilities or co-occurring disorders. Our acclaimed Advocacy Education Course provides advocacy skills training to persons in recovery throughout Connecticut.

You can apply for AU's Advocacy Education Course by…

Completing the Online Application below
- or -

Mailing or fax'ing a copy of the application (MS Word document) to:

Advocacy Unlimited, Inc.
Attn: Advocacy Education Course
300 Russell Rd.
Wethersfield, CT 06109
Fax: (860) 667-2240

See our Course Schedule for dates and locations. We encourage you to apply anytime, regardless of your location and whether or not you can attend one of the currently scheduled classes. Your application will be kept on file and when a course is scheduled near your location, we will contact you.

Graduates of AU's Advocacy Education Course can obtain 3 college credits at Housatonic Community College. Credit can also be counted towards the MERGE Mental Health Certificate Program should students decide to continue taking courses. Alternatively, it can count towards credit in the HCC Victim Certificate Program. See College Credit for details and how to proceed.

Online Application

Before completing the application…

Please review the Course Overview, Outline, and Requirements

Make sure you agree to and can commit to the Course Requirements

	Your name:
	Email:
	Mailing address:
	City:
	State:
	ZIP Code:
	Phone:
	Sex:	Male Female
	Age:
	Which course offering would you like to apply for? I am applying for the New Britain course that is starting on August 11, 2010 I prefer to wait for a class closer to my location I am applying for a Spanish class in Hartford I will wait for a Spanish class closer to my location
	Have you ever served on a consumer committee, council, or board? Yes No
	If so, what committee, council, or board:
	What qualifications or skills do you have that would help you as an advocate?
	What experience have you had in the consumer movement?
	What areas of advocacy skills do you feel you need extra training in?
	Why do you want to participate in our advocacy education classes?
	Are you able to commit six hours a week to be an advocate/educator for others? Yes No
	Are you able to arrange for transportation to: a.) The 14 week advocacy classes?Yes No b.) The Legislative Office BuildingYes No in Hartford to testify or provide support as you are able?
	Are you a registered voter? Yes No
	Are you interested in: ~ Daytime classes?Yes No ~ Evening classes?Yes No

Education and Training

Advocacy Education Course Application

Online Application