CTHVN Facilitator Training Application
September 19th-21st, 9am-5pm - 114 West Main St, Suite 201, New Britain, CT
Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
In a few sentences, why do you want to take CTHVN Facilitator Training?
*
Will you commit to running an in-person weekly CTHVN hearing voices group beginning within two months of the September 19th-21st training?
*
Yes
No
Out of which towns or areas would you be willing to run a group?
*
Are you fluent in any languages other than English?
Spanish
Mandarin
French
Tagalog
Other
Do you require any accessibility accommodations for this training?
Scholarship
We have limited scholarships which are intended to assist those who otherwise would not be financially able to attend. Do you have need of financial assistance to attend this class?
Yes
No
Those who take the class on scholarship must commit to running an in-person weekly CTHVN meeting beginning within one month of the September 26th-28th class.
Yes, I will commit to running a weekly CTHVN group.
No, I cannot commit at this time.
Final application submission
Please review all information to ensure it is correct before hitting submit! You will receive a confirmation email, and will hear back about your acceptance to the class within two weeks. If you are accepted, you will be provided with a payment link at that time.
Submit
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