Unity Within — Peer Supporter Training Registration
Register for the next volunteer training by sharing your details and preferred mode of training .
Full Name
*
First Name
Last Name
Email Address
*
example@example.com
National ID Number
*
Phone Number
*
Please enter a valid phone number.
Format: 000 000-0000.
Age
*
Gender
Female
Male
Other
Prefer not to say
University / Institution
Year of Study
Please Select
1st Year
2nd Year
3rd Year
4th Year
Other
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Preferred mode of training
*
Please Select
online
physical
Emergency Contact Name
*
Have you ever supported a friend through a difficult time? If so, briefly describe it.
*
Do you have any prior experience in counseling, peer support, volunteering, or community work?
How would you describe your listening and communication skills?
*
Are you comfortable keeping sensitive conversations confidential?
*
Yes
No
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Emergency Contact Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
How many hours per week can you realistically commit to this?
*
Have you volunteered or done peer support work before?
*
Yes
No
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I confirm that the information I have provided above is accurate and complete, and I have read and agree to Unity Within's Terms & Conditions (
https://claude.ai/artifact/MQj6Dgty1b1zE7ar8HZBqn
).
*
I confirm that the information I have provided above is accurate and complete
Why do you want to join Unity Within as a peer supporter?
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Please confirm your details are correct before submitting.
I have read and agree to Unity Within's
terms and conditions
, and I agree to attend the training if selected
*
I have read and agree to Unity Within's terms and conditions, and I agree to attend the training if selected
Submit Application
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