Caregiver Support Group Facilitator Intake Form

Caregiver Support Group Facilitator Intake Form
Thank you for your interest in becoming a caregiver support group facilitator with Family Caregivers of BC. This short form (10–15 minutes) helps us learn more about you and ensure the role is a good fit.
Basic Information
Full Name
Email
Geographic Location (City/Town & Region):
Organization (if applicable):
Are you applying as a:

Other
If you are a volunteer, please share the name and email of your staff contact:
If you are keen to volunteer with FCBC Support Groups, tick below:
About You
1. What inspired you to consider becoming a caregiver support group facilitator?
2. Do you have any personal or professional experience with caregiving?
Who have you supported?
Are you currently caregiving?
How long have you been (or were you) in a caregiving role?
⚠️ Note: In most cases, we do not recommend active caregivers take on a facilitation role due to the emotional and time demands involved.
3. Tell us a bit about your current life circumstances. (e.g., work, family, other commitments, general capacity)
4. What types of self-care or wellbeing activities are part of your routine?
5. Do you have any previous experience leading or facilitating groups?
If yes, please describe briefly
6. What do you hope to gain or contribute by being a support group facilitator?
7. How comfortable are you supporting others who are experiencing strong emotions (e.g., grief, frustration, guilt)? (Optional: Share an example of how you’ve supported someone emotionally.)
8. How do you plan or prefer to facilitate groups?
9. Do you have any questions or anything else you’d like us to know?
Should be Empty:

Caregiver Support Group Facilitator Intake Form

Basic Information

About You