Community Trainee Application Form

Questions concerning the LEND Community Program, please contact:

  • Date Format: MM slash DD slash YYYY

  • Please write a personal statement describing the following:
    • How your involvement in the UCONN LEND Program will help you achieve your professional and personal short term and long term goals
    • Describe your experience with people disabilities and their family members
    • Describe your leadership experience and describe your leadership style
    • Discuss how you will demonstrate the leadership competencies you learn in LEND in your role as a professional, five and ten years after completing your LEND training

  • Please provide one-two written professional/academic recommendation letters attesting to your work/academic/life experience. In the space provided below, list the name, address, phone number of those two individuals providing recommendations:

  • Applicants are responsible for requesting letters of recommendation. We would also like to have permission to contact your references.

    I permit permission for LEND staff to contact individuals providing letters of recommendation for additional information.

  • Date Format: MM slash DD slash YYYY

  • Completed applications will be automatically emailed to Dr. Mary Beth Bruder ( at University of Connecticut Center for Excellence in Developmental Disabilities when you click the "Submit" button below.