AMHP Professional-Led Support Group Facilitation
Please fill out this form if you are interested in helping out in our professional-led support group initiative as a group facilitator/cofacilitator. In order to lead a group as a main facilitator, you need to be fully licensed. Associate licensees may help with cofacilitation.

For questions: contact@asianmhc.org
Email *
Name *
In which US state do you reside? *
Which of the following best describes you? *
Professional License # *
Why are you interested in participating in this initiative? *
Do you have previous experience facilitating support groups? Please elaborate. *
Is there a specific topic(s) that you would like to structure a group around? Please elaborate.
Are you able to facilitate one 90 min group per week for 8 weeks? *
What day/time of the week would you be able to facilitate a group?
Mondays
Tuesdays
Wednesdays
Thursdays
Fridays
Saturdays
Sundays
Morning
Afternoon
Evening
Is there anything else you would like us to know?
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