"Learning to Live, Learning to Love" Phase I Course Interest

"Learning to Live, Learning to Love" Phase I Course Interest

Classes are currently available in three areas of Maryland (Silver Spring, Baltimore, and, for a limited time, Columbia). The class meets once a week for 16-18 sessions. Each session will be approximately 3 hours long. Please use this form to express your level of interest in the class for yourself and your availability.
If you are interested in the class for a person other than yourself OR for a group/organization, click this link to connect us with them.

Recommend Others to "Learning to Live, Learning to Love"

If you live outside of the Baltimore, DC, MD, Virginia area, please contact Life Skills International, so we can direct you to the licensed affiliate closest to you.
Full Name*

First NameLast Name
Your Birthdate*

MonthDayYear
Date
Email
example@example.com
Phone Number
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Are you interested in the upcoming offering of this class in the Baltimore, Columbia, or Silver Spring areas of Maryland?

YesNot right now, but I am interested in a future offering of the class (4 to 12 months from now).Yes, but not for myself.I'm not sure. I need more information/time to think it over.No. I am no longer interested in the class for myself.
Have you enrolled in the "Learning to Live, Learning to Love" Phase I course before?

Yes, I completed it.Yes, but I did not complete it.No

Concerns? Consider this...

Concern	Consider this...
This won't benefit me.	Participants say... "We really don't realize how much is impacting us until we learn what ...the traumas are. Every class my eyes open more and I am sad that more people do not take the class. We all need this class." "I came to Life Skills expecting to counsel others. I see now the real first need was my growth." "I highly recommend this course to all people. It is a life changing journey that will help you dig deep into your past and use tools to help you overcome your weaknesses. I learned so much about myself over the past 16 weeks and it has only just begun."
16 - 18 weeks is too long	Participants say... "I first thought 'This is not for me.' Halfway through I was ready to quit. My wife and daughter have both died and I didn’t see a need to continue. A small voice said to stick around. The best is yet to come. So I stayed. I’m so happy I did." "16 weeks felt long initially....but now I'm afraid I don't have enough time. It flies by."
I can't afford it.	The class fees are determined on sliding scale, based on an individual's income. We will make sure that financial concerns are never an obstacle to one’s healing and growth.
Locations, times, days are not convenient	Come try one class through our "Taste and See" (trial class) option! We think you will discover that the permanent and positive impact this class can have on your life will have been completely worth it! And if logistics are you only reason, please let us know what works better, so we can include your needs in future planning.

Now what do you say? Are you now interested in the upcoming offering of this course in the Baltimore, Columbia, or Silver Spring areas of Maryland?

YesNot now, but I am interested in a future offering of the class (4 to 12 months from now).I'm not sure. I still need more information/time to think it over.No. I am still not interested in the class for myself.I am not ready to commit, but I am interested in the "Taste and See" option.

Would you like to recommend this course to someone else or pass it on to an organization, business, or group?

Yes, I will share this information with them personally.Yes, feel free to send them information, instead of me.Yes, feel free to send them information, but I will also give them a heads up about it.No.

Organization Name (if applicable)
Organization Type (if applicable)
Name of Personal Referral or Organization Contact

First NameLast Name
Referral: Email
example@example.com
Referral: Phone Number
Please enter a valid phone number.
Would you like to enter another name or organization?

YesNo

Organization Name (if applicable)
Organization Type (if applicable)
Name of Personal Referral or Organization Contact

First NameLast Name
Referral: Email
example@example.com
Referral: Phone Number
Please enter a valid phone number.

Please feel free to review your responses before clicking "submit".
Should be Empty:

	Not a Concern	Minor Concern	Major Concern
This won't benefit me.
I can't afford it.
16-18 weeks is too long.
The locations are too far.
The days/times don't fit my schedule.
Other

	Midday	Evening	Either	Neither
Monday
Tuesday
Wednesday
Thursday
Friday

"Learning to Live, Learning to Love" Phase I Course Interest

Concerns? Consider this...

Course Locations and Schedule

Please feel free to review your responses before clicking "submit".