Grief and the Next Mile™ Request a Facilitator

Grief and the Next Mile™ Request a Facilitator

Request a Facilitator for Your Organization
Thank you for your interest in bringing Grief and the Next Mile™ into your organization, workplace, or community. We understand that every organization has unique needs. This brief form will help us better understand your goals so we can connect you with a facilitator who can provide thoughtful, compassionate support aligned with your environment.
Organization Name*
Name*

First NameLast Name
Title*
Email*
example@example.com
Phone Number (optional)
Please enter a valid phone number.Format: (000) 000-0000.
Organization Location (City/State or Country)*
Corporate/BusinessNonprofit OrganizationChurch/Faith-Based OrganizationSchool/Educational InstitutionHealthcare/Human ServicesOther
Grief support for employees/team membersSupport following a recent loss or eventOngoing grief-informed supportWorkshops or facilitated conversationsLeadership support/guidanceOther
Leadership teamEmployees/staffSpecific department or groupEntire organizationCommunity/membersOther
Approximate number of participants*
VirtualIn-PersonHybridNot sure yet
As soon as possibleWithin the next few weeksWithin the next few monthsJust exploring options
Is there anything else you would like us to know?
By submitting this form, you understant that Grief and the Next Mile™ provides non-clinical, grief-informed support and does not replace therapy or mental health treatment and services.

A member of our team will review your submission and follow up to learn more and discuss how we can best support you and your organization.
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