Register your Interest in Participating in a Support Group for People who Experienced Harm from Spiritual Communities, Cults or Spiritual Teachers/Gurus
Please complete this form to show interest in the ASI Pilot Support Group. Your interest will be reviewed and the facilitator, Deb Cohen, will contact you to set up a conversation to determine if this support group would be a good fit for you. There will be one 90 minute session each week for 8 weeks. The cost is $360 for the 8-week pilot program. Payment must be made in full to ASI prior to the first session. You will be sent a specific payment link once accepted to the support group. You do not need to be an ASI member or a spiritual leader to participate.  This program is for students or anyone who has experienced harm from participating in a spiritual community, cult or following a spiritual teacher/guru and are ready to join a therapeutic group.
Email *
Full Name *
Phone Number *
City, State, Country *
Time zone *
Preferred Method of Contact *
Required
Please select ALL times that work for you.  
NOTE:  The time is in Eastern Time (USA) so please check the time zone converter.  If there is enough interest, there may be a future group, which is still to be determined.
 *
Required
Please briefly share what harm you experienced in your participation in a spiritual community, cult, or by following a spiritual teacher/guru. *
Did you leave the group or are you still currently associated with the group? *
Did you officially report the harm to the community leadership team/board or anyone in the community?  If yes, please briefly explain the steps you took to report the harm. *
What year/s did the harm take place? *
What therapy or support have you participated in since you identified the harm? *
Is there anything else you would like to share about your experience, your learning, your growth, or your desire for healing?
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