Data Entry Portal
Data Entry Portal
Username or Email Address
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Participant Agreement Form
Name of organization:
Check applicable category
Total annual budget
Total number of employees
- *total number of family members employed
Does your state have and/or require certification for family peer support providers?
What type of certification is available and/or required?
National Parent Support Provider Certification
If Other, Please specify
Is certification required to provide parent peer support services?
*Total number of employees certified in organization
As an organization enrolled in FREDLA's National Data Collection Project, we agree to the following terms and actions: 1) Certify that the organization is a family-run organization, with at least 51% of our Board of Directors comprised of parents/caregivers of children or youth with mental health challenges. 2) Agree to submit requested data annually through the data entry portal on the FREDLA website. 3) Agree to designate one person as the main contact for the Project and for entering requested data. This will be the person contacted by the Project Coordinator as needed. 4) Agree for the data entered to be used in aggregate form with data entered by other Participants. 5)Agree to be publically recognized as a Participant in the National Data Collection Project. As the coordinating entity for the National Data Collection Project, FREDLA is committed to the following: 1) Providing an opportunity to build a repository of data to demonstrate the impact of family-run organizations nationally. 2) Providing coordination of data collection and maintenance of a national database. 3) Utilizing aggregate data to advocate for and support family-run organizations across the nation.
"By clicking the accept box, I certify that I am authorized representative of a family-run organization and agree to abide by the terms and actions outlined in this agreement."