Center for Independent Living of Northeastern Minnesota (CILNM)

 

Mission: To assist individuals with disabilities to live independently, pursue meaningful goals, and have the same opportunities and choices as all persons.

CILNM Philosophy: The Center for Independent Living of Northeastern Minnesota (CILNM) is a private, non profit, community organization, serving persons of all disability groups within eight northeastern Minnesota counties.  CILNM promotes and practices the independent living philosophy of consumer control regarding decision-making, service delivery, management, and establishment of the policy and direction of the center.

Through self help and self advocacy, and the development of peer relationships and role models, CILNM assists individuals with disabilities to live independently, to exercise equal rights and choice; and, to have opportunities to access services available to all, regardless of the funding source or ability to pay.  These services include programs, activities, resources, and facilities within their communities. 

Increased options, access, and independence are achieved through the provision of information and referral, independent living skills training, peer support, advocacy and community education and involvement.

I understand that as a consumer of CILNM, initiating services and maintaining follow through is my responsibility.  I understand that CILNM staff is available to assist me in attaining my personal goals, and that I am responsible for setting my goals and making decisions regarding my life.

    
I WISH TO BE CONSIDERED A CONSUMER OF                                                             INDEPENDENT LIVING SERVICES AT CILNM.
 

I wish to have staff assist me in developing an independent living plan.

It is my personal determination that an independent living plan is not necessary at this time.

I also understand that I have the right to develop an independent living plan at a later time should I so desire.

I have received CILNM policies A/3 and A/6 (Policy and Procedure Concerning the Reporting of Consumer Abuse and Neglect and Policy and Procedure Concerning Consumers and Employees Communicating Concerns and Registering Complaints).  I understand these CILNM policies and I have been informed of the Client Assistance Project. 

I have been notified in accordance with the Minnesota Government Data Practices Act that CILNM is required a provide grant activity reports to the Division of Rehabilitative Services (DRS).  I understand that my signature below authorizes CILNM to provide information about me as part of their required reporting process to the DRS.  The DRS will use this information only for grant administration purposes, and will not release my name or personal information to other parties without my informed consent (or the consent of my guardian or legal representative where necessary). 

I Agree With Everything Written Above