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Facilitator / Contact Application

If you are interested in assisting other straight spouses as a support group facilitator, a support contact, or both, please complete the fields below.

* indicates required field

Select one or both boxes.

Personal Information:

Which contact information may we give out to individuals who are reaching out for support? Please check all that apply!

Tell us a little about your journey and what you hope to be able to accomplish as a group facilitator or contact.

If applying to be a group facilitator, what city and state (or province) will your group meet within?

Likewise, if you are interested in being a contact, what area will you accept contacts from?

Any other comments or information you would like to share?

Would you like a email address?

The Capcha field below is to minimize spam emails!