Dope Father Facilitator Sign-Up Form

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1. What is your full name? (Required.)

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2. What is your email address? (Required.)

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3. What is your phone number? (Required.)

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4. Which topic(s) are you interested in facilitating? (Required.)

Identity & Self-Worth

Mental Health & Emotional Intelligence

Peer Pressure & Decision Making

Social Media, Image & Influence

Addiction, Alcohol & Drugs / Substance Use Prevention

Conflict Resolution & Communication

Trauma, Healing & Emotional Wellness

Leadership, Purpose & Financial Literacy

Grief, Loss & Healing

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5. Please describe your experience relevant to the selected topic(s) in detail. (Required.)

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6. Do you have previous experience facilitating workshops? (Required.)

Yes

No