CollegeConnect Group

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This group is intended for 2nd-4th year students in college to learn manage school stressors, receive support from peers, and gain coping and regulation skills. Dates for the group will be June 30th, July 14th, July 28th, and August 11th from 1pm-2pm. After summer, the group will be 1x month, dates TBD.

**This will be virtual until further notice**

Please fill out your information below and the group facilitator will be in touch within a few days.

First and Last Name (include preferred name if applicable)

Contact information (phone & email)

Date of birth

YYYY

What college do you attend?

Primary Language

Address

Emergency Contact Information (Name & number)

Race/Ethnicity

Caucasian

Black/African American

Asian

Native American

Pacific Islander

Alaskan Native

Multiple Race

Puerto Rican

Cuban

Mexican

Other Hispanic

Not Hispanic

Other:

Gender Identity

Female

Male

Non-Binary

Transgender Female

Transgender Male

Prefer not to say

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