Renewal Group - Strengthening Relationships

Please complete this form thoroughly. The information you provide us is strictly confidential and will help the group counselor understand the needs of the group and of each participant. It will also allow the staff to discern if this group experience is a good fit with your counseling needs at this moment. Lastly, it allows potential participants to review and to commit to the policies for group membership and the guidelines for group meetings.
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    Reasons for joining the Renewal Group

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    Information about counseling experience and needs:

    Note: this information is completely confidential and available only to the program director and group counselor.
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    Group member commitments

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