Self-care Saturday's Initiative (Volunteering Therapist)
Licensed Mental Health care professionals interested in volunteering one or more Saturday's of their time to this community initiative are encouraged to fill out this form
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Email *

First and Last Name

Name of Organization

Degree
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Active State and License Title (**Yes - please provide details**) 

Point of Contact Email

What day(s) would you like to volunteer: 

Will you provide Individual or group?
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Will you need anything such as extra tables, wifi, etc?

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If you are a large organization that would like to have staff volunteer for a day, please provide their names, state licenses, and specific area of focus. 

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