PACC Support Groups Waiting List

Request edit access

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

In the wake of the recent traumatic events in Palestine, PACC will begin a series of online sessions catered to supporting our community through informational webinars as well as emotional support groups. Please fill out this form to relay your interest in joining any of these groups. A member of our staff will reach out to you.

First Name *

Last Name *

Email Address *

Phone Number *

What form of support group are you interested in joining? *

Informational Q&A

Emotional support group

Both

Groups will primarily be held virtually via Zoom, but some in-person sessions may be considered. Please tell us your preference. *

I prefer virtual sessions.

I prefer in-person sessions.

I don't have a preference.

I would like to attend both/either.

Can you briefly share what you wish to benefit from attending any of these sessions? *

Submit

Clear form

Never submit passwords through Google Forms.

This form was created inside of Palestinian American Community Center.

Does this form look suspicious? Report

Forms