We are here to provide the structure and guidance that you need to overcome sexual bondage, inner pain, and/or emotional trauma and help you towards the path to freedom! Please fill out the information, everything is kept confidential between you and Chi Alpha staff. Someone will be in touch to help you get connected with one of our Journey Groups (male responses will only be shared with males, female responses shared with females).
*We are not professional counselors. If you are experiencing deep depression or suicidal thoughts, please seek professional help and inform us so we can guide you to the help you need.
If you have any questions, please reach out to :
Isaac (for guys) 540-449-8107
Amanda (for ladies) 516-639-3166
What year are you?
Never submit passwords through Google Forms.
This form was created inside of Virginia Tech.