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Please check the following that apply to you:*
- I am a certified addiction counselor
- I am a certified therapist
- I am a certified family/marriage counselor
- I am a certified psychologist
- Other
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Are you willing to donate time?*
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For what causes would you be interested in donating your time?*
- Donated therapy sessions
- Advising operations
- Creating training content and materials
- Marketing our organization to others
- Other
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How many hours a week are you willing to donate?*
What City / State do you live in?*
City State
How many years have you been working in the mental health industry?*
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National Suicide Prevention Hotline:

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Text “Home” to 741741

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