TO: Social Workers and Nurses

FROM: Thomas P. Sellers, President & CEO, NCCS Betsy Clark, Executive Director, NASW Paula Trahan Rieger, Chief Executive Officer, ONS

DATE: August 30, 2010

RE: Free Training Opportunity for Social Workers and Nurses Cancer Survival Toolbox® Train-the-Trainer Conference, Washington, DC Applications Due: September 20th

The National Coalition for Cancer Survivorship, the National Association of Social Workers and the Oncology Nursing Society are pleased to host a Train-the-Trainers conference on the Cancer Survival Toolbox®, at the National Office of NASW in Washington, DC on Tuesday, November 16, 2010.

The Cancer Survival Toolbox (http://www.canceradvocacy.org/toolbox/) is a premier audio tool produced by and for cancer survivors, to help newly diagnosed individuals, as well as families and caregivers, develop important skills to better understand and meet the challenges of their illness. The Toolbox has been validated for use in culturally, socio-economically, geographically, and cognitively diverse populations and teaches skills in communicating, solving problems, negotiating, finding information, making decisions, and standing up for one’s rights. The Toolbox was developed through a unique collaboration among several organizations: the National Coalition for Cancer Survivorship (NCCS), the Association of Oncology Social Work (AOSW), the Oncology Nursing Society (ONS) and the National Association of Social Workers (NASW).

This one-day conference will equip attendees with the skills needed to train their colleagues in using the Toolbox with cancer survivors and others affected by cancer. Ten nurses and ten social workers will be selected to participate in this training, which will be led by cancer specialists in nursing and social work, all of whom have been instrumental in the development and refinement of the Toolbox. Expenses related to the conference (travel, lodging and meals) will be covered by NASW. In the 12 months following the conference, each attendee will be required to train at least 20 of his/her professional peers and participate in a mid-year conference call to gauge the success of the program. The peer trainings will follow a template curriculum and will take 3-4 hours to administer.

NCCS, NASW and ONS are eager to expand Toolbox usage into non-traditional settings. We encourage applications from practitioners in employee assistance programs, home health, long-term care, primary health care, family services, pastoral care, and agencies working with other vulnerable and hard-to-reach populations.

We hope you consider applying for this unique opportunity. Please complete the attached application form and send it, along with your resume and cover letter, to Stacy Collins, MSW, senior practice associate, NASW, at [email protected]. Applications must be received by 5pm EDT on September 20 th. All applicants will be notified of the selection process outcome by September 29th. Please feel free to contact Stacy by e-mail if you have questions or need additional information.

Continuing Education Credits: Nursing and social work CEs for the November 16th train-the-trainer conference will be available for a nominal fee. __

Cancer Survival Toolbox ® Train-the-Trainer Conference Application

Name: ______

Address: ______

______

E-mail:______

Please indicate: ____social worker ______nurse

Professional Credentials (e.g., RN, MSN, BSW, MSW, etc):

______

Employer: ______

Position and title: ______

Please describe the groups/patient populations with whom you regularly work:

______

Please indicate your degree of familiarity with the Cancer Survival Toolbox®: (please note: we are considering people with all levels of familiarity)

____1 ______2 ______3 Not at all familiar somewhat familiar very familiar

Please describe your experience, if any, using the Cancer Survival Toolbox®: ______

______

Please describe the training(s) you plan to conduct. Please be as detailed as possible; include information about setting, audience and potential partners.

______

______Potential Date(s) for Training: ______

City/ State: ______

Locations (e.g., clinic, community center, hospital, etc): ______

Confirmations:

If selected, I commit to training 20 of my fellow nurses/social workers on use of the Cancer Survival Toolbox,® by November 16, 2011.

______yes ______no

I have confirmed with my employer that I have release time to attend the Train-the-Trainers conference on Tuesday, November 16th, 2010, if selected to attend.

______yes ______no

I will participate in a 90-minute webinar/conference call in May 2011, to gauge the progress of the local and state trainings.

______yes ______no

______Signature Date

COMPLETED APPLICATION PACKET MUST INCLUDE:

APPLICATION RESUME COVER LETTER

SUBMIT ELECTRONICALLY (NO POSTAL OR FAX SUBMISSIONS PLEASE) TO:

Stacy Collins Senior Practice Associate NASW 750 First Street NE; Suite 700 Washington, DC 20002 [email protected]

ALL APPLICATIONS MUST BE RECEVIED BY 5 PM EDT ON September 20, 2010