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.
Date of Birth
Where do you currently live (zip code)?
What is your preferred contact method?
How did you find out about the Aware Project's ISI program?
Aware Project website/event
Referred by friend
Please tell us briefly why you're interested in participating in the ISI program?
What aspects of the ISI program are you interested in?
Individual work with a trained mental health professional (In Person)
Individual work with a trained mental health professional (Skype/Google Hangout)
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?
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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