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  • Shoulder to Shoulder / Tauau to Pakahiwi Registration Form

    2025
  • Emergency POC Information

  • Residence Information

  • Health Information

    These questions are meant to help us better understand your needs and tailor support within the group. They are not a substitute for professional mental health care. If you are experiencing a mental health crisis or need immediate assistance, please seek help from a licensed professional or contact a crisis hotline.
  • Disclaimer/Consent for Mental Health Questions
    These questions are meant to help us better understand your needs and tailor support within the group. They are not a substitute for professional mental health care. If you are experiencing a mental health crisis or need immediate assistance, please seek help from a licensed professional or contact a crisis hotline.

     

    Confidentiality Statement
    Your privacy and trust are very important to us. All information shared in this registration form, as well as any information discussed during group sessions, will remain strictly confidential. We will not share any personal details, mental health information, or any content shared in the group with outside parties without your explicit consent, unless required by law or in the case of imminent harm to yourself or others.

    By participating in this group, you agree to respect the confidentiality of other members and to share personal experiences only within the safe space of the group. We encourage an open, supportive, and confidential environment to help you feel comfortable and supported.

    If you have any questions or concerns about confidentiality, please feel free to reach out to the group facilitator.

  • Men's Support Group Rules & Code of Conduct


    1. Confidentiality

    What is shared within the group stays within the group. This includes personal stories, challenges, and any sensitive information discussed during meetings.
    Members should not share another member’s personal experiences outside of the group without their consent.


    2. Respectful Listening and Sharing

    Listen actively and without interruption when someone is speaking. Every person’s story and voice are valuable.
    Share your thoughts and experiences honestly, but be mindful of others. Speak from your own experience, using "I" statements (e.g., "I feel...," "I experienced...") rather than making generalized statements about others.


    3. No Judgment or Criticism

    Maintain an open, non-judgmental attitude. This is a place for support, not for criticism or unsolicited advice.
    Avoid offering solutions or advice unless asked. Sometimes, just listening is the best form of support.


    4. Be Supportive and Empathetic

    Offer empathy and understanding. Your role is to support, not to fix.
    Show kindness and compassion, even if you don’t fully understand someone else’s experience. Everyone is here to grow and improve.


    5. No Discrimination or Harassment

    Discrimination based on race, religion, sexual orientation, gender, or any other characteristic is not tolerated.
    Any form of harassment or abusive behavior, including bullying, will not be tolerated.


    6. One Person Speaks at a Time

    Respect each other's speaking time. Allow everyone the opportunity to share without interruptions.
    It’s important to create space for everyone to feel heard.


    7. Maintain a Positive and Solution-Oriented Attitude

    While it’s okay to discuss challenges, try to frame your conversations in a constructive way. Focus on growth, solutions, and personal empowerment.
    Engage with a mindset of improvement and positive change.


    8. Commitment to Group Attendance

    Regular attendance helps foster trust and support. Please make an effort to attend meetings consistently.
    If you’re unable to attend, notify the group leader or facilitator in advance whenever possible.


    9. Privacy Outside of Group

    Outside of group, be mindful of others’ privacy. Avoid discussing other members’ personal matters with non-members unless you have their explicit consent.


    10. Respect Personal Boundaries

    Everyone has different comfort levels with sharing. If someone is not ready to share, respect their boundaries.
    It is important not to push or pressure anyone into disclosing personal information.


    11. Punctuality

    Be on time for group sessions to ensure that the meeting runs smoothly and everyone can participate fully. If you’re running late, let the group know in advance if possible.


    12. No Substance Abuse During Meetings:

    To maintain focus and respect within the group, members should not consume drugs or alcohol before or during meetings.
    Clear-headed and respectful participation is essential.

    13. Facilitator's Role

    The facilitator’s role is to guide the group, ensure the rules are followed, and maintain a safe and productive environment. If you have concerns or issues, please bring them to the facilitator's attention privately.

    14. Group Participation

    Active participation is encouraged. Everyone is expected to contribute in a way that is respectful of others.


    While you are encouraged to speak up, it is equally important to listen and provide support to fellow members.

     

    Agreement to Code of Conduct
    By attending this group, you acknowledge that you understand and agree to abide by these rules and principles. This is to ensure that everyone has a safe and supportive space to share, grow, and connect.

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