Registration for Peer Connect Small Group with Drs. Joan Chan and Samantha Lavitt (open group) Survey

Thank you for your interest in joining a Peer Connect small group. Please complete the registration form below to join a small group facilitated by Drs. Joan Chan and Samantha Lavitt. This group will meet on the following dates (Wednesdays) from 9:00-10:30am via Zoom.

Wednesday, April 1, 2026
Wednesday, May 6, 2026
Wednesday, June 3, 2026
Wednesday, July 8, 2026
Wednesday, August 5, 2026
Wednesday, September 2, 2026
Wednesday, October 7, 2026
Wednesday, November 4, 2026
Wednesday, December 2, 2026
Wednesday, January 6, 2027
Wednesday, February 3, 2027
Wednesday, March 3, 2027

1.I commit to attending and participating in the group discussion dates listed above. Please note that participants who miss 3 consecutive sessions will be removed from the group. OCFP will send a reminder after 2 absences.(Required.)

I agree.

2.Please provide the following information:(Required.)

First Name:

Last Name:

Email:

CFPC Number (for Mainpro+ credits):

3.Please share topics/areas of interest you are hoping to focus on during these small group discussions.

4.What challenges/barriers are you hoping these small group discussions can help you with?