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Kaleidoscope Questionnaire
Kaleidoscope Sign-Up Form September 2022
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Option 1
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Name
*
Your answer
Email we can use to contact you about next steps
*
Your answer
How would you like to contribute to Kaleidoscope? (Check all that apply)
*
Attend Meetings
Facilitator Training
Facilitating Support Groups
Social Media and Web Design
Grant Writing
Boothing at events
Required
What is your experience with mental health? (Check all that apply)
*
Personal mental health experience
Previous mental health training (certifications, crisis line, etc)
relevant education or volunteer experience
Interested in Kaleidoscope training
Required
Is there anything else you would like us to know about you (e.g., particular interests; future goals)?
Your answer
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