Saathi - Desi Rainbow Peer Support Recipients
The information you provide here, including contact information, time available, language spoken is requested so that we can match you with a peer supporter who shares your experience as much as possible.
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Email *
Name *
Pronouns (what you would like us to use when we refer to you. Eg. she/her, he/him, they/them) *
Briefly tell us the reason you are seeking support so we can match you with an appropriate supporter *
I am (check all that apply) *
Required
My national origin and religious background
My zip code *
Phone number *
Time Zone (Eastern, Central, Mountain, Pacific) *
Days of the week that you would like to receive a call *
Time during day when you are available *
What is your preferred language for this call? We cannot guarantee that we can provide support in your preferred language, but will do our best!
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