2025 Expression of Interest Form
Parental Mental Health Support for Survivors
Full Name
*
First Name
Last Name
Phone Number
*
E-mail
example@example.com
Your location in BC (city, town or rural location):
How did you hear about us?
*
Please Select
CFE email.
CFE website.
Referral or from an allied organization.
Friends or social networks.
Other.
Do you identify as low-income?
Yes.
No.
Sometimes.
Are you currently involved with/accessing BC's family law system?
Yes.
Sometimes/on and off.
No, but I have accessed it in the recent past.
No.
If you wish, please us know what your needs are and what draws you to this program:
Would you like us to add you to our outreach email list to hear about future cohorts?
Yes
No
Are you an existing CFE member?
Yes!
No.
No, but I would like to be. Please send me more info on how to sign up!
Submit
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