LIFT Certification Program Application
LIFT Cohort R Application Cycle (October-December)
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ABOUT THIS APPLICATION
Thank you for your interest in the LGBTQ Institute for Family Therapy (LIFT) Certification Program. This certification program is designed for clinicians and program administrators working directly with families involved with New York City’s Administration for Children’s Services (ACS). After getting certified as a LIFT clinician, you will have additional knowledge, skills, and confidence to help reduce rejecting behaviors of families struggling to accept their LGBTQ children.
**LIFT IS CURRENTLY VIRTUAL**

The next cycles of the LIFT program are three months long. This means the program will require a three month commitment with both independent and collaborative work assignments to be completed between sessions. The next LIFT training dates are the following:

October 12th &19th
November 9th & 23rd
December 7th & 14th
Completed applications are due by Friday, September 30th, 2022. Applications will be reviewed on a rolling basis after September 30th.
This application is being administered by The Lesbian, Gay, Bisexual and Transgender Community Center, the organization responsible for the LIFT Certification Program, and is made possible by generous private funding.

In order for this application to be considered complete, you must complete all questions included below, along with submitting your most recent resume and supervisor's written approval to participate in LIFT to: foreverfamilies@gaycenter.org. Please include your preferred cohort in the subject line.  

Please read the application thoroughly and answer each question to the best of your ability. Should you experience technical issues completing this form, please email The Center at: foreverfamilies@gaycenter.org

LIFT is committed to building a network of diverse clinicians by offering ongoing professional development opportunities. LIFT is open to people of all sexual orientations and gender identities (both those who identify as LGBTQ+ and those who do not). People of color, people with disabilities, women, and LGBTQ+ candidates are strongly encouraged to apply.
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APPLICANT INFORMATION
Your Name (First & Last) *
Your Email Address *
Your Organization *
Your Phone Number: *
COHORT SELECTION
The next cycles of the LIFT program are three months long. This means the program will require a three month commitment with two sessions per month, and both independent and collaborative work assignments to be completed between sessions.
Which of the following cohorts can you attend? (Participants must attend ALL dates for the assigned cohort – there will be no make up dates offered!)                                                                                     *
How did you hear about LIFT? (If a LIFT graduate referred you to the program, please share their name.) *
Please explain your interest in participating in the LGBTQ Institute for Family Therapy (LIFT) Certification Program, and identify three things you hope to get out of this program. *
Please share one example of working with a family who struggled to support their LGBTQ child, and how you were able to offer support. *
Under which area(s) of child welfare does your work with families fall? *
必填
Do you currently work with families in a therapeutic setting? *
Do you currently supervise employees who work with families in a therapeutic setting? *
What NYC Borough do you primary work in? *
ACCOMMODATIONS
The Center is committed to creating inclusive, accessible, safe, and enjoyable learning spaces. Please respond to the questions below to help us ensure your experience in the LIFT Program meets your needs.
Do you require any accommodations in order to fully and comfortably participate in LIFT? If so, please share.
APPLICATION CHECKLIST
To participate in the LIFT certification program, you must get your supervisor’s approval to commit to LIFT’s time commitment and guidelines. Please send written approval to foreverfamilies@gaycenter.org with your full name and preferred cohort in the subject line. If you have concerns about securing this approval, or wish to speak further before doing so, please email foreverfamilies@gaycenter.org to discuss *
必填
Confirm that you have sent your most recent resume to foreverfamilies@gaycenter.org. Include your full name and preferred cohort in the subject line. You will not be eligible for consideration until you submit this document to The Center. *
必填
DEMOGRAPHIC DATA COLLECTION
Here at The Center, we're committed to training and supporting clinicians from diverse backgrounds. We also want to be able to evaluate how broad an impact we're having, in terms of the clinicians recruited and the communities served. Providing the information below will below will help us do so. All of this information is voluntary and can be skipped.
How would you describe your gender?
How would you describe your race & ethnicity?
How would you describe your sexual orientation?
What is your age?
CONSENT TO DATA SHARING FOR EVALUATION
The Center has partnered with an external team of researchers to evaluate the efficacy of the LIFT program. The team will have access to applicant names, agencies of employment, phone numbers, email addresses, and any of the demographic information in the next section you choose to share in this application. The team may choose to contact some LIFT applicants with a request to participate in a survey or interview, which can be ignored or declined without any consequence or further communication.
Do you consent to having this information provided to the research team for this purpose? *
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