National Resource Center for Child Welfare Data and Technology

National Resource Center for Child Welfare Data and Technology

A Service of the Children's Bureau/USCHHS
Child Welfare League of America

Peer Consultation Application

Complete the request and return application to:

NRC-CWDT
Child Welfare League of America
2345 Crystal Drive
Suite 250
Arlington, VA 22202

The NRC-CWDT is pleased to provide an opportunity for child welfare professionals to become Peer Consultants. Peer Consultation is a process where child welfare professionals from various States are able to directly share their unique ideas on policy evaluation, resources, problem-avoidance, and best practice through focused on-site technical assistance with other States.

Your expertise and unique perspective will serve as a valuable resource for others working in child welfare systems. Please complete the form and the State Advisors will use the information to select appropriate Peer Consultant(s) for requests from States.

Thank you for your interest in becoming a Peer Consultant and we look forward to your contributions to the network of child welfare professionals in information technology.

Name: _________________________________________________________

Project Title: ___________________________________________________

Agency/Organization Name: _______________________________________

E-mail Address: _________________________________________________

Mailing Address: _________________________________________________

City: _______________________________ State: ______ Zip: __________

Phone Number: __________________ Fax Number: ____________________

A peer consultant is an individual that has been recognized as competent to share their experience and knowledge in child welfare. Please respond to the questions below to help us understand the unique skill set you bring to the Peer Consultation process.

What experiences have you had in child welfare services (front line worker, manager, administrator, etc.)?

___________________________________________________________________

Do you have experience in county administered or State administered States?

___________________________________________________________________

In what areas would you feel confident in providing technical assistance to other child welfare projects?

___________________________________________________________________

Please describe your experience with providing training and/or the delivery of technical assistance.

___________________________________________________________________

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