Peer Counselling Training Application Apply for Peer Counselling Training PC Training September to December 2014, Annapolis Valley, NS The training is open to adult survivors of childhood sexual abuse who have journeyed far enough in their healing that they are ready to help others. Volunteer Peer Counsellors are asked to commit to at least one year following the end of training. Trainees must attend all 18 sessions to receive a certificate of completion. We will meet one evening a week plus two Saturday daytimes. Please fill in the form below (2 pages) and we will contact you shortly for an interview. Starred * items are required. Deadline to apply is August 20th. Thanks for being willing to help other survivors! Step 1 of 2 50% Name* First Last Age Range*Please select18-2425-3940-6465+Prefer not to sayGender*Please selectFemaleMaleTrans FemaleAgenderGender QueerGender FuidBi-genderPrefer not to sayLanguages Spoken* English français Mi'kmaq Other Your Mailing Address* Street Address Address Line 2 City AlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland & LabradorNorthwest TerritoriesNova ScotiaNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon Province Postal Code PhoneInclude area code.Phone contact preferencesOK to leave messages on my answering machine or with other personDo not leave message if I do not personally replyPhone timesPlease indicate the best times and days to call youEmail* Enter Email Confirm Email Why would you like to be a Peer Counsellor?*What experience, knowledge, skills or strengths would you bring to this volunteer work?*What are some of the challenges you will face as a Peer Counsellor?*How would you feel about working with peer clients of different ethnicity, religion, age, gender or sexual orientation than yourself?*How did you find out about this opportunity?*Check all that apply Newspaper Ad Poster Web Site Facebook Counsellor/Therapist Doctor/Nurse A friend S.O.A.R. member Other Comments or Questions This iframe contains the logic required to handle Ajax powered Gravity Forms.