Educate to Eradicate the Stigma Study Group

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Thank you for your interest in participating in one of our four-week educational studies on HIV Awareness. All study sessions are offered free of charge and participants will receive a certificate of completion. Sessions are held virtually and times listed are in Eastern Daylight Saving Time. Participants who complete one four-week session will be entered to win a $25 Amazon Gift Card.

Good to the SOUL, LLC
located in the BLFCI Center at Crossroads South
3201 N. Capitol Ave.
Indianapolis, IN 46208
www.GoodToTheSOUL.com

Email *

Select one (1) four week Study Session *

Session 1: Tuesdays June 8, 15, 22, and 29 at 12pm

Session 2: Tuesdays June 8, 15, 22, and 29 at 6pm

Session 3: Thursdays June 3, 10, 17 and 24 at 6pm

Option 5

What is your name? *

Where do you live? *

Marion County (Indiana)

Other:

Are you interested in receiving information about the in-home HIV Testing Kits?

Yes

Maybe

Clear selection

Do you have any questions and/or accessibility needs we should know about prior to the sessions?

Send me a copy of my responses.

Submit

Clear form

Never submit passwords through Google Forms.

reCAPTCHA

Privacy Terms

This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy

Forms