Virtual BIPOC Mental Health Providers Networking Group Registration - Wednesdays at 4:30 - 6 pm
Welcome to our monthly virtual networking group for BIPOC mental health providers! We're thrilled to create a supportive space where we can connect, share experiences, and uplift each other in our professional journeys. Let's build meaningful connections and foster a community where everyone feels seen, heard, and valued. Please complete this registration form. If you have any questions contact Leila at Leila@moodyoctopus.com.
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Email *
First name  *
Last name  *
Pronouns
*
License or Licensure track (ex. MFT, LPC, LICSW) *
What has made it difficult to commit to a consult/networking group in the past?
*
What will you need to make this a safe space to be vulnerable + connect on a human level?
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What are your personal hopes for this experience and how would you like to contribute? *
This group is for BIPOC identifying folks, including folks who are mixed or may be white passing. Are you comfortable with this? 
*
What will allow you to commit to showing up monthly (given your ability)?
*
I will attend a virtual group via Zoom on Wednesday 6/19 from 4:30-6pm.
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