Application to Conduct Family Leadership Training
June 2014
Polly Arango Mentoring Fund: Supporting a New Generation of Family Leaders
of Cultural and Linguistic Diversity
Family Voices is pleased to offer an opportunity for State Affiliate Organizations to apply to the
Polly Arango Mentoring Fund. This opportunity is open to FV SAOs in good standing that wish to
conduct Family Leadership & Mentoring for Families of Cultural & Linguistic Diversity.
Award: Up to $5,000 per SAO
Number of Awards: 3-4 SAOs to be funded
and mentored for one year
Expectation: States are encouraged to apply project funds in a manner that reaches out and ensures
participation by families of cultural diversity who may need supports to participate, such as
transportation, respite, telephone, and other accommodations.
Application Deadline: 7/1/14
Award Selections: 8/1/14
Funding Begins: 9/1/14
The Polly Arango Mentoring Fund seeks to attract new grassroots families of cultural and linguistic
diversity for a new generation of family leaders that reflects the growing diverse populations within states
and our nation, while building SAO state level leadership and advocacy.
Polly Arango, beloved mother, friend and founder of Family Voices, was a passionate advocate for
children with special health care needs and their families. Polly served as the first Family Voices
Executive Director, which now has active chapters across the country. Polly’s vision included developing
leadership among families of cultural diversity and richness. She cultivated new leaders and envisioned
the leadership of Family Voices at the state and national leadership to reflect the color and diversity of our
nation.
Polly’s vision for a nationwide, empowered and vocal voice of families includes the voices of families with
cultural and linguistic diversity. Leadership development through mentoring was one of Polly’s longstanding passions. To establish a lasting memorial to Polly, Family Voices will use funds from the Polly
Arango Memorial Fund to establish a mentoring program. The mentoring program will support the growth
of the Family Voices organization through the development and support of emerging family leaders with
cultural and linguistic diversity.
Family Voices State Affiliate Organizations (SAO) may apply to participate in the Polly Arango Mentoring
Fund Initiative to enhance their capacity to identify, train, and support families from diverse racial, cultural
and linguistic backgrounds to become family leaders.
Three to four states will be selected for an award of up to $5,000 each to conduct and support family
leadership training and mentoring within their state to grow family leadership among families of diversity.
States may apply to develop a new program and/ or to integrate family leadership development and
mentoring for families of diversity into its ongoing work. Each selected FV SAO will be paired with an
experienced coach to help them in this work.
www.familyvoices.org  3701 San Mateo Blvd. NE, Ste. 103  Albuquerque, NM 87110
(p) 888.835.5669  (f) 505.872.4780

Page 1 of 6
Polly Arango Fund
SAO Application for Family Leadership Training–
Families of Cultural & Linguistic Diversity
Eligibility and Application
To be eligible, an FV SAO must:
 Be in good standing with the FV National (current up-to-date affiliate membership renewal
status);
 Propose a project that supports a minimum of ten families of cultural and linguistic diversity;
 Have at least 3 cultural diversity goals with corresponding objectives submitted with the
application;
 Agree to complete a Language Access Self-Assessment and plan within 6 months of selection (if
it has not been done within the last 2 years);
 Agree to complete the Cultural and Linguistic Competence Self-Assessment for Family
Organizations within 6 months of selection ( if it has not been done within the last 2 years);
 Commit to the program during the mentoring/coaching year and at least one additional year.
* Return this application to Diana Autin at dautin@familyvoices.org by July 1, 2014.
Family Voices aims to achieve family-centered care for all children and youth with special health care needs and/or
disabilities.
Throughout our national grassroots network, we provide families resources and support to make informed decisions,
advocate for improved public and private policies, build partnerships among families and professionals, and serve as
a trusted resource on health care.
Family Voices is a non-profit 501(c) 3 organization as determined by the Internal Revenue Service. No goods or services were
received in exchange for this donation. Your gift is tax-deductible to the extent allowed by law.
www.familyvoices.org  3701 San Mateo Blvd. NE, Ste. 103  Albuquerque, NM 87110
(p) 888.835.5669  (f) 505.872.4780

Page 2 of 6
Polly Arango Fund
SAO Application for Family Leadership Training & Mentoring –
Families of Cultural & Linguistic Diversity
SAO Contact Information:
SAO Name and State: ___________________________________________________________
Contact Name: _________________________________________________________________
Address: ______________________________________________________________________
Phone: ___________________________
Email: ___________________________
Signature: _________________________
Date: ____________________________
Please describe your current activities and past experience with the following:
1. What are your organization’s cultural diversity goals and objectives?
2. How will these funds advance your cultural diversity goals and objectives?
3. What diverse populations are you currently working with? Please describe what you are currently
doing.
4. What population(s) do you plan to focus on? How did you determine this population(s) and why?
5. Briefly describe how you plan to provide leadership training and mentoring to these families. If
you will need technical assistance in order to respond to this question, please indicate this.
6. If you have specific ideas regarding how you plan to spend the funds, please outline your
tentative plans. The final decision regarding allocation of the funds will be made collaboratively
between the FV SAO and your coach.
www.familyvoices.org  3701 San Mateo Blvd. NE, Ste. 103  Albuquerque, NM 87110
(p) 888.835.5669  (f) 505.872.4780

Page 3 of 6
Application to Serve as an FV SAO Parent Leadership Development Mentor/Coach June 2014
Polly Arango Mentoring Fund: Supporting a New Generation of Family Leaders
of Cultural and Linguistic Diversity
Family Voices is pleased to offer an opportunity to State Affiliate Organizations to apply to serve
as Parent Leadership Development Mentors for the Polly Arango Mentoring Fund. This
opportunity is open to FV SAOs in good standing that wish to mentor and coach selected SAOS to
conduct Family Leadership and Mentoring for Families of Cultural and Linguistic Diversity.
Award: Up to $1,000 per State Mentored
Application Deadline: July 1, 2014
Award Selections: August 1, 2014
Funding Begins: September 1, 2014
The Polly Arango Mentoring Fund seeks to attract new grassroots families of cultural and linguistic
diversity for a new generation of family leaders that reflects the growing diverse populations within states
and our nation, while building SAO state level leadership and advocacy.
Polly Arango, beloved mother, friend and founder of Family Voices, was a passionate advocate for
children with special health care needs and their families. Polly served as the first Family Voices
Executive, which now has active chapters across the country. Polly’s vision included developing
leadership among families of cultural diversity and richness. She cultivated new leaders and envisioned
the leadership of Family Voices at the state and national leadership to reflect the color and diversity of our
nation.
Polly’s vision for a nationwide, empowered and vocal voice of families includes the voices of families with
cultural and linguistic diversity. Leadership development through mentoring was one of Polly’s longstanding passions. To establish a lasting memorial to Polly, Family Voices will use funds from the Polly
Arango Memorial Fund to establish a mentoring program. The mentoring program will support the growth
of the Family Voices organization through the development and support of emerging family leaders with
cultural and linguistic diversity.
Family Voices State Affiliate Organizations (SAO) may apply to serve as mentors/coaches to states that
are selected to participate in the Polly Arango Mentoring Fund Initiative to enhance their capacity to
identify, train, and support families from diverse racial, cultural and linguistic backgrounds to become
family leaders. Three to four states will be selected for an award of up to $5,000 each to conduct and
support family leadership training and mentoring within their state to grow family leadership among
families of diversity. States may apply to develop a new program and/ or to integrate family leadership
development and mentoring for families of diversity into its ongoing work. Each selected FV SAO will be
paired with an experienced coach to help them in this work. Coaches/mentors will receive $2,000.
www.familyvoices.org  3701 San Mateo Blvd. NE, Ste. 103  Albuquerque, NM 87110
(p) 888.835.5669  (f) 505.872.4780

Page 4 of 6
Polly Arango Fund
SAO Application to Serve as Mentor/Coach for Family Leadership Training & Mentoring – Families
of Cultural & Linguistic Diversity
Eligibility and Application
To be eligible, an FV SAO must:






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Be in good standing with the FV National (current up-to-date affiliate membership renewal
status);
Demonstrated successful experience in developing and conducting leadership training;
Demonstrated successful experience as a mentor/coach.
Demonstrated successful experience in supporting the leadership of families with cultural and
linguistic diversity.
Demonstrated successful experience in cultural competence.
Demonstrated successful experience in developing programs that reflect the mission of Family
Voices.
Commit to the program during the mentoring/coaching year and at least one additional year.
* Return this application to Diana Autin at dautin@familyvoices.org by July 1, 2014.
Family Voices aims to achieve family-centered care for all children and youth with special health care needs and/or
disabilities.
Throughout our national grassroots network, we provide families resources and support to make informed decisions,
advocate for improved public and private policies, build partnerships among families and professionals, and serve as
a trusted resource on health care.
Family Voices is a non-profit 501(c) 3 organization as determined by the Internal Revenue Service. No goods or services were
received in exchange for this donation. Your gift is tax-deductible to the extent allowed by law.
www.familyvoices.org  3701 San Mateo Blvd. NE, Ste. 103  Albuquerque, NM 87110
(p) 888.835.5669  (f) 505.872.4780

Page 5 of 6
Polly Arango Fund
SAO Application to Serve as Mentor/Coach for Family Leadership Training & Mentoring – Families
of Cultural & Linguistic Diversity
Eligibility and Application
SAO Contact Information:
SAO Name and State: ___________________________________________________________
Contact Name: _________________________________________________________________
Address: ______________________________________________________________________
Phone: ___________________________
Email: ___________________________
Signature: _________________________
Date: ____________________________
Please describe your current activities and past experience with the following in the space provided:
1. Parent Leadership Development for Diverse Families:
2. Training/Professional Development:
3. Coaching/Mentoring:
4. Non-Profit Capacity Building:
5. Cultural Competence:
Please include a letter up to two pages indicating (a) why you are interested in serving as a Family Voices
State Affiliate Organization Family Leadership Development Mentor, (b) the unique knowledge,
experience, and expertise you would bring to this role, c) your time availability, and (d) indicate how may
states you would be interested in mentoring.
Please provide at least 2 written letters of recommendation addressing the above areas of expertise.
Return this application, cover letter described above, and letters of recommendation by July 1, 2014 to
Diana Autin at dautin@familyvoices.org
www.familyvoices.org  3701 San Mateo Blvd. NE, Ste. 103  Albuquerque, NM 87110
(p) 888.835.5669  (f) 505.872.4780

Page 6 of 6