Peer Facilitator Application

Peer Facilitator Application

  • SECTION 1: GENERAL INFORMATION

  • Date Format: MM slash DD slash YYYY
  • Ex: she/her, he/him, they/them, zi/zir, etc.
  • SECTION 2: PERSONAL PROFILE

  • Ex: family, friends, counselling, etc.
  • Ex: Facilitating support groups, educational series, etc.
  • SECTION 3: AVAILABILITY AND COMMUNICATION

  • Ex: phone, email, online, in person
  • SECTION 4: SUPPORT AND RESOURCES

  • SECTION 5: CONSENT TO PARTICIPATE

  • Date Format: MM slash DD slash YYYY
  • This field is for validation purposes and should be left unchanged.