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Become An Aggie Mom Support Sister
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Email
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Your email
Full Name
*
Your answer
Your E-Mail
Your answer
Your Phone Number
Your answer
What Aggie Mom Club are you a member of?
Your answer
Do you have personal history with any of the following life experiences where support may be needed? Select all that apply.
Breast cancer
Other cancer diagnosis
Loss of a child
Loss of a spouse
Primary caregiver for a parent/adult relative
Parenting a child with disability
Single parenthood
Parenting a child with mental health concerns
Parenting a child with an addiction
Divorce
Any other life experiences that you feel you could offer support to another?
Please tell us any life experience not listed above that you could offer support to another Mom experiencing this now. This could be anything at all!
Your answer
Do you have previous experience providing emotional support in the life experiences you marked? (not required)
Yes
No
Clear selection
Will you commit to at least 30 minutes to 1 hour a week to support your Aggie Mom Sister?
Yes
No
Clear selection
Do you agree to keep all information shared with you confidential?
Yes
No
Clear selection
Please tell us a little bit about yourself, your life experience, and your strengths in relating to and helping others going through a difficult time.
Your answer
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