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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