2020-2021 Peer Programs - Peer Health & Peer Literacy

Training happens for eight (8) consecutive weeks on the following Thursday evenings, from 5:00 p.m. to 8:30 p.m.: January 14, 21, 28, February 4, 11, 18, 25 March 4.  Possible additional session on March 11.  All trainings will be held via Zoom. 

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* 1. Please select ONE training option from below.

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* 2. First Name:

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* 3. Last Name:

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* 4. Attendant's e-mail address: (this is for communication purposes only)

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* 5. Address: 

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* 6. If mailing adddress is different from above, please enter it here:

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* 7. What program does your child attend?

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* 8. What is your child's name: (First, Last)

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* 9. If you need an interpreter, what language?

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* 10. What languages are you fluent in?

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* 11. Referring Staff's Name:

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* 12. Referring Center/Site Name:

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* 13. Referring Staff's phone number:

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* 14. Referring Staff's e-mail:

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