Providing parents of children with
with information, training, assistance, and
◊ Board of
Support Parent Match
(Please complete all SIX
sections of this application)
I am looking for emotional support.
I am looking for help with my child's IEP.
Your role (please
check one of the following):
I am a PARENT (or caregiver) of a child or an adult with a
I am another family member of a child or an adult with a disability.
Your relationship to the child or adult with a
Parent programs are for parents and family members only.
If you need assistance, please call us at 888-612-9273.
Your contact information for
our Matching Database:
Central Florida Parent Center will not publish nor divulge your
information to anyone outside of our
organization - except for the
volunteer support parent with whom you are matched.
Best time to reach you by phone:
Information about your child (for matching purposes):
Your child's name (optional):
Year of birth:
Your child's primary
disability / diagnosis:
Age when your child's disability
Please include any additional
information about your child that might assist in
making a good match, for example: twins; information about play/social skills,
current school placement and/or accommodations, etc.
Please include any special issues
regarding your child that may
help to identify an appropriate match:
Information about you:
The main reason I would like to be
matched with a volunteer Support Parent is:
I understand by submitting this
match request that:
CFPC staff will share all my contact information with the
volunteer Support Parent with whom I am matched.
- The volunteer
with whom I am matched will share their contact information
with me at a level they feel comfortable with. Support
may take place by email, by phone, or in person -- according to the
Support Parent's preferences.
- If I am matched
with an IEP Support Parent, that does not automatically mean that
the person will be attending my child's IEP meeting.
- Once I
submit this request, I will hear from someone regarding my match
within three business days. (Most requests will be addressed
within one day; delays may result as we determine and contact the
most appropriate match.)
- I can, for any
reason, request a change of Support Parent. (It's important
that you feel comfortable with the person you are matched with.
Just call - and no questions asked - we will assign a different
By entering your full name below,
you are affixing your signature to this online request.
To help us to prevent spam,
please enter a number
between 20 and 40 in the box below (and then click Submit):
◊ Board of