Small Group Integration Series Intake
Please fill out this form if you are interested in participating in deeper, more structured integration work. We will be offering one-on-one sessions along with a 4-week intensive group series in Los Angeles and via skype for those who aren't local to the LA area.
First Name
Your answer
Last Name
Your answer
Date of Birth
Where do you currently live (zip code)?
Your answer
Email Address
Your answer
Phone Number
Your answer
What is your preferred contact method?
How did you find out about the Aware Project's ISI program?
Please tell us briefly why you're interested in participating in the ISI program?
Your answer
What aspects of the ISI program are you interested in?
What is your preferred day to participate?
What is your preferred time of day to participate?
Is there anything else you would like to tell us?
Your answer
I understand, that by participating in the ISI program, I will not engage in any illegal activities at any ISI events or meetings, including buying, selling or seeking illegal substances or being under the influence. I understand that the Aware Project and the ISI program take a harm reduction approach where we emphasize accurate information, education, and safety.
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