CCC Group and Skills Building Waitlist
Thank you for your interest in joining one of our groups and/or one-on-one Skills Building Courses. Please fill out the information below and we will reach out as soon as space opens up in the service you are interested in.
Name
*
First Name
Last Name
Phone Number
*
Please enter a valid phone number.
Email
example@example.com
What is the best way to reach you when space becomes available?
Phone
Email
Which service are you interested in?
*
Skills Building Courses
Groups
Both
Which group(s) are you are interested in joining?
Men's Support Group- Wednesdays from 6pm-8pm
Grandparents Raising Grandchildren Support Group- 9-10:30am, 1st and 3rd Mondays
Grief and Loss Support Group -Fall 2025
DBT - Core Mindfulness Fall 2025
DBT - Distress Tolerance - Winter 2026
DBT - Emotional Regulation - Spring 2026
DBT - Interpersonal Effectiveness - Summer 2026
Which Skills Building Course(s) are you interested in?
DBT Skills for Emotion Regulation
DBT Skills for Distress Tolerance
CBT Skills for Anger Management (*please note this course is for skills building only and not appropriate for use in court or for other legal reasons).
Please select ALL of the days and times you can be available to meet with a counselor WEEKLY for a skills building course. This will help us determine when space is available with a counselor who facilitates the course you are looking for.
9am- Noon
Noon-3pm
3pm-6pm
Mondays
Tuesdays
Wednesdays
Thursdays
Fridays
How do you prefer to meet with your Skills Building counselor?
In person
Online
No preference/whatever is available
Submit
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