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DTSTART;VALUE=DATE:20260202
DTEND;VALUE=DATE:20260509
DTSTAMP:20260403T224120
CREATED:20251106T190539Z
LAST-MODIFIED:20251112T134025Z
UID:11429-1769990400-1778284799@www.nextstepnet.org
SUMMARY:Next Step Mentoring Program (Spring 2026)
DESCRIPTION:Do you have goals that you just can’t seem to make progress on? Maybe you feel like you know exactly what you need to do but you still can’t seem to do it? Or maybe you are already doing everything you can\, but it doesn’t feel like you’re making a dent? If you said yes to any of these questions\, our mentoring program might just be the extra boost you need. Our 2026 Spring Mentoring Program starts the week of February 2nd. This FREE program is for young people\, ages 16-29\, living with a chronic illness. \nMost of the time\, we already have the skills we need to move forward on our own but it can feel hard to get started. What we need is a little extra step to get moving. This is what our mentorship program can do for you. In our mentoring program you can identify and work on developing the skills you need to support yourself in your journey through adulthood so you can start your tomorrow\, today. \n\n					\n\n					\n					\n				\n			\n				\n\n						\n\n						\n\n						\n\n						\n\n						\n\n						\n\n						\n\n						\n\n						\n\n						\n\n						\n\n						\n\n						\n\n						\n\n						\n\n						\n\n						\n\n						\n\n						\n\n						\n\n						\n\n						\n\n						\n\n						\n\n						\n			\n\n			\n\n			\nProgram Description: \n\n3 month-cycle\nYou meet with an assigned mentor 1-on-1 each week\, in-person or virtually\nMeetings are ~1 hour\nWork on your Action Plan (developed collaboratively by you and your mentor)\nParticipants are paid $20/session\, a total of $240 to help support their goal\n\nSounds good? Fill out the application below and Richard\, our Mentorship Coordinator will contact you to schedule an initial interview. You will be assigned a mentor and ready to begin at the start of the next cycle. \nQuestions? \nEmail Richard if you have any questions or need additional information about our 2025 Summer Mentoring Program: richard@nextstepnet.org \n\n\n                \n                        \n                            Next Step Mentoring Program Application\n                            Please fill out the application below to join this program. \n                        \n                        Name*\n                            \n                            \n                                                    First\n                                                    \n                                                \n                            \n                            \n                                                            Last\n                                                            \n                                                        \n                            \n                        Nickname or Preferred NameHave you attended a Next Step program before?*\n			\n				\n				Yes\n			\n			\n				\n				Attended Introductory Event Only (e.g. Next Step Mobile at hospital\, community center\, etc.)\n			\n			\n				\n				No\n			How did you hear about the Next Step?*\n			\n				\n				Next Step Outreach (Email or Event)\n			\n			\n				\n				Google/Internet Search\n			\n			\n				\n				Social Media (Instagram\, etc.)\n			\n			\n				\n				Family Member/Trusted Adult\n			\n			\n				\n				Another Participant\n			\n			\n				\n				Medical Staff\n			\n			\n				\n				Other\n			\n			\n				\n				\n			If "other" or "medical staff\," please tell us how and include the name\, position and hospital of the medical staff who referred you:*Your Address*    \n                    \n                         \n                                        Street Address\n                                        \n                                   \n                                        Address Line 2\n                                        \n                                    \n                                    City\n                                    \n                                 \n                                        State / Province / Region\n                                        \n                                      \n                                    ZIP / Postal Code\n                                    \n                                \n                                        Country\n                                        AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire\, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo\, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea\, Democratic People's Republic ofKorea\, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine\, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena\, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania\, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands\, BritishVirgin Islands\, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands \n                                    \n                    \n                Phone*Alternate PhoneEmail*\n                            \n                        Preferred mode of contact?*\n								\n								Email\n							\n								\n								Cell Phone (Call)\n							\n								\n								Cell Phone (Text)\n							Current OccupationEmployer or SchoolAgeBirthday\n                            \n                            MM slash DD slash YYYY\n                        \n                        Race/EthnicityGenderPronouns (he/him\, she/her\, they/them)What is the highest level of education you have received so far?Hospital or Clinic where you receive medical care?What do you hope to get out of the Mentoring experience?PARENT/GUARDIAN OR EMERGENCY CONTACTName*\n                            \n                            \n                                                    First\n                                                    \n                                                \n                            \n                            \n                                                            Last\n                                                            \n                                                        \n                            \n                        RelationshipPhoneEmail\n                            \n                        Medical OverviewDiagnosis*Date of Diagnosis\n                            \n                            MM slash DD slash YYYY\n                        \n                        Are you on active treatment?\n			\n				\n				Yes\n			\n			\n				\n				No\n			Food allergy & reactionsEnvironmental allergiesDo you carry an Epi-Pen?\n								\n								Yes\n							\n								\n								No\n							Are there any special accommodations you would need?Are there any activity limitations?Please list any medications you take\, and how often.Please take a moment to describe what symptoms you display if you've overextended yourself or are starting to get sick. How can we best support you in such a situation?CONSENT AGREEMENTAUTHORIZATION AND RELEASE\nThis Consent Agreement\, Authorization and Release must be read and signed to be eligible to attend Next Step's Young Adult Campference.\n\nRELEASE OF LIABILITY\nI understand that occasionally accidents occur during campference activities and that participants may sustain serious personal injury and property damages as a consequence thereof. Knowing the risks of campference activities\, nevertheless\, and in consideration of my acceptance for participation at a campference\, I hereby agree to assume those risks and to hold harmless Next Step\, and all campference agents\, representatives\, employees and volunteers\, from any and all liability\, claims for personal injury and/or property damage\, costs\, expenses and damages arising out of or connected in any way with my participation in campference activities. Further\, I acknowledge that Next Step accepts no responsibility for the loss\, damage or theft of my personal property.\nPlease indicate:*\n			\n				\n				I consent\n			\n			\n				\n				I do not consent\n			Community Agreement/Rules of ConductThank you for making a commitment to yourself. In signing this document\, you are agreeing to work on your goals. Though it may be difficult at times\, know that you will be supported. That said\, this program only works if you put in the work. Here are the guidelines and commitments that we are expecting of you:*\n								\n								Participants will agree to stay in the program for the full 3 months of the program\n							\n								\n								Participants will meet with the Mentor Specialist weekly\, virtually or in-person\, to review your progress and request support.\n							\n								\n								Participants agree to set a goal\n							\n								\n								Participants agree to follow through on all tasks required to move them towards goal completion and come prepared to meetings to discuss them or request support.\n							\n								\n								Participants agree to be timely to all meetings and interactions with the Mentor Specialist\n							Please select as an indication that you will adhere to the code of conduct.Please indicate:*\n			\n				\n				I agree to the community agreement\n			\n			\n				\n				I do not agree to the community agreement\n			PHOTO AND INFORMATION RELEASEI give Next Step permission to photograph and use pictures or visual and/or audiotapes of me in professional or fundraising activities. On occasion\, with this permission\, participant photographs may be included on the Next Step website\, on a bulletin board\, video\, newsletter\, campference album\, or in personal photographs.  Next Step respects the privacy of participants and does not allow unauthorized visitors to photograph the campference or participants.  In addition\, by signing below\, I give Next Step permission to give my name\, address and/or phone number to groups or individuals wishing to support Next Step by inviting me to an event or by sending me information related to Next Step. This list will not be sold or given to anyone else for any other reason.Please check appropriate box and provide your signature below:*\n			\n				\n				I agree to the photo release\n			\n			\n				\n				I do not agree to the photo release\n			Data Sharing NoticeAs a part of participating in this program\, we will ask you to complete surveys about your experience. We will also collect data about you - such as how many sessions you completed\, your age\, gender\, etc.\, that will be used to evaluate and continue to improve the Mentoring program. As a part of our partnership with the Duke PiCASO program\, we will share those data with their team for the purpose of program improvement. Any personal information that could identify you will be removed or changed before files are shared with the Duke PiCASO team to protect your privacy and anonymity. Please SignBy signing below\, I hereby acknowledge that I have read and fully understand the terms and expectations of the program. All information provided is current and accurate to the best of my knowledge. Name*\n                            \n                            \n                                                    First\n                                                    \n                                                \n                            \n                            \n                                                            Last\n                                                            \n                                                        \n                            \n                        Date*\n                            \n                            MM slash DD slash YYYY\n                        \n                        Please check this box to indicate that the above signature will serve as your electronic signature\n								\n								(Delegate or Legal Guardian if the Delegate is not over the age of 18)\n							\n          \n            \n            \n            \n            \n            \n            \n            \n            \n            \n            \n            \n            \n            \n        \n                        Δ
URL:https://www.nextstepnet.org/event/next-step-mentoring-program-spring-2026/
CATEGORIES:Cancer,HIV,Program,Rare Genetic Disorder,Sickle Cell
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