Support Group Leader Application

Can I Be A Support Group Leader?

Maybe. You must be over 21, have good general knowledge of the subject, leadership skills (it doesn't hurt that you have either participated regularly and/or been a support group leader online or in real life before), excellent chat skills, and the ability and willingness to make a 1 hour weekly commitment for at least 8 weeks.

Please fill out the form below. We do appreciate your interest and we'll be back to you within 5 days.

Thank you.

Real Full Name:
Your Age:
Email:
Street Address:
City:
State:
Zip Code:
Phone No.:
Fax No.:
URL to your homepage / website (if you have one):
If selected, we ask that you post a link from your site to the HealthyPlace.com website and place a linked HealthyPlace.com "support group" button on your homepage or other prominent, appropriate page on your site.
Agree/Don't Agree:
Area of Interest:
Why you're qualified:
Tell us a little bit about yourself in relation to the group you want to host:
Day and time you're available to lead the group:
Day and time you're available to lead the group:

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Can I Be A Support Group Leader?