Interlife Community - Mentoring Registration
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Full name of participant *
Date of Birth of participant *
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Our activities are primarily focused on achieving goals and outcomes in the areas of building social relationships, connecting and protecting culture, country, nature, family and self, exploring identity and belonging, having fun, being creative and working through and accepting personal triggers as they arise.
What activities is the participant interested in? Tick all that apply *
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If known, what days and hours is the participant available? *
Details of the person referring the participant - Name, email, phone, agency *
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