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The Transformation Center's
2017 Community Voice Gatherings

Committing to Education, Advocacy, and Ethics:
The Next Level in Peer Support

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* 1. First Name:

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* 2. Last Name:

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* 3. Address:

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* 4. Email:

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* 5. Phone:

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* 6. What region are you coming from?

Western MA

MetroBoston MA

Central MA

Southeastern MA

Northeaster MA

Outside of MA

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* 7. Gathering(s) you are registering for:

May 8, 2017 - Worcester Public Library - 3 Salem Square, Worcester, MA (Saxe Room)
9:45-10:30 am Registration & Coffee 10:30-4:00 Gathering

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* 8. How would you describe yourself (can check more than one)?

Peer Worker

Peer Volunteer

Certified Peer Specialist

Recovery Coach

Clinical or Rehab Provider

MA State Employee

Supervisor

Administrator

Researcher

Funder or Policy-maker

Advocate, Friend, Family

Other community member

Details? (youth mentor, substance use advocate,etc....)

Thank you, we look forward to seeing you at the regional gathering!
If you have questions, please contact Catherine Quinerly at The Transformation Center
(617) 442-4111 ~ catherineq@transformation-center.org.

Lunch provided. Registration 9:45, Community Voice Gathering 10:30 - 4:00