home guide to hrc client services resource center training and events housing contact us service providers individual/family survey A survey for HRC Clients and Families: Please tell us what types of family support and training, and opportunities for involvement at HRC interest you. We appreciate your input! Client Name: Client Address: Client City: Client State: Client Zip: Client Phone: (e.g. 310-540-1711) Parent Name: Parent Address: Parent City: Parent State: Parent Zip: Parent Phone: (e.g. 310-540-1711) Who is completing this form?  Client      Family Member There are local parent and some client groups which provide support, education and assistance for Harbor Regional Center clients and families. If you would like more information about parent support groups or client self-advocacy groups, please select the appropriate item.  I would like information about parent to parent support  I would like information about parent support groups  I would like information about client self-advocacy groups Harbor Regional Center provides a considerable amount of training for parents and family members. If you are interested in any of our training sessions, please indicate the topics that interest you. Harbor Regional Center provides a variety of ways for parents and clients to participate in our organization. Please select any of the involvement opportunities that interest you.   Participating on an HRC team that evaluates local services   Helping with fund-raising activities   Being a volunteer at the HRC Resource Center or at the HRC office   Serving on an HRC Board Advisory Committee   Writing articles for the HRC newsletter Harbor Happenings   Inviting HRC to speak to my employers/community organization about regional center services   Helping HRC identify employers with job opportunities for HRC clients The Lanterman Act provides for a regional center client to have a service coordinator (counselor), a parent of a minor to become their child's coordinator, or a client to become his/her own coordinator. Please select the appropriate item if you are interested in this option.   I would like to be the coordinator for my son/daughter   I would like to be my own service coordinator   I would like an HRC counselor to be my service coordinator

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