Cornerstone of Hope · COL_2024 Support Group Facilitator Training Registration

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Support Group Facilitator Training Registration

Cornerstone of Hope Columbus

June 3-4, 2024 (must attend both days) • 9:00AM-4:00PM

Registration and breakfast begins at 8:30AM

I would like to attend this training: *	Quantity
$295 - June 3-4, 2024 (must attend both days)

Contact Information

Name

First Name

Last Name

Address

Address Line 1

Address Line 2

City

State/Province

ZIP/Postal Code

Phone Number

Verify Email

Professional/Volunteer or other experience with grief and loss, mental health or group facilitation:

Current Professional Licensure if applicable:

What is your general availability/preference to facilitate groups?

(For example: weekday evenings, weekday mornings, weekends, etc.)

How did you hear about this training?

Quarterly Newsletter

Social Media

Website

Print Ad

Flyer

Other

Payment Note:

We use Paypal as our "cashier"; Paypal account is not necessary and you may pay using any form of payment that you choose (simply check out as "guest").

Add 3% to my total amount to help cover the payment processing fees