Sign up to Be a Mentor

We believe in the power of "we" not "me."

The people who can have the greatest impact on others' lives are those who have been there. A Reeve Foundation peer mentor will go through a specialized certification process that will include on-line work in advance of an on-site training.

A Reeve Foundation Peer Mentor has:
- been injured or a caregiver for at least one year
- a positive outlook and thriving
- a desire to give back
- time to give to the program
- knowledge about their local resources
- good listening skills
- can maintain confidentiality
- complete all training and administrative requirements

If you have these qualities and are interested to be considered in becoming a Reeve Foundation Peer Mentor, please fill-out the application below.

If you have questions about the Peer & Family Support Program, please contact the Paralysis Resource Center at 800-539-7309 ext. 7226.

* required information


Candidate Information
First Name:*
Last Name:*
Company Name:
Address Line 1:*
Address Line 2:
City:*
State:*
ZIP/Postal Code:*
Email:*
Phone:*
I am in the military or a veteran:	Yes No
Connection to our cause:
Brief Description of Peer Mentoring desires:

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The information provided in the Paralysis Resource Center was supported by Cooperative Agreement number 1U59DD000838-01 from the Centers for Disease Control and Prevention (CDC). Its contents are solely the responsibility of the Reeve Foundation and do not necessarily represent the official views of the CDC.