P2P Leader Training Registration

METAvivor Peer To Peer Support Group Leader Training

Thank you for your interest in becoming a METAvivor trained Peer Leader and starting a group in your area. Please complete the brief questionnaire below to get started. METAvivor will send some paperwork through email, for you to sign. We are excited to meet you and help prepare you to start an mBC group in your area.

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* 1. What is your name?

First Name

Last Name

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* 2. What is your street address?

Address line 1

Adress line 2

City

State

Postal Code

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* 3. What is your phone number?

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* 4. What is your email address?

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* 5. What day works best for you to attend the 1.5-hour training Zoom?

Monday

Tuesday

Wednesday

Thursday

Friday

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* 6. What is the best time of day for your to attend a 1.5 hour Zoom training?

Morning

Noon

Evening

Anytime

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* 7. When are you interested in training to become a Peer Leader?

Now! Sign me up!

In a week

In a month

Two months from now

P2P Leader Training Registration

METAvivor Peer To Peer Support Group Leader Training

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* 1. What is your name?

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* 2. What is your street address?

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* 3. What is your phone number?

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* 4. What is your email address?

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* 5. What day works best for you to attend the 1.5-hour training Zoom?

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* 6. What is the best time of day for your to attend a 1.5 hour Zoom training?

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* 7. When are you interested in training to become a Peer Leader?

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* 8. Please share your reason for wanting to be a trained Peer Leader.