Warm and Friendly Application Form - Peer Support & Advocacy ... 2025

1. Click ‘Get Form’ to open it in the editor.
2. Begin by filling in your name and gender. This information helps us understand who you are.
3. Enter your date of birth, home phone, and cell phone numbers for contact purposes.
4. Provide your address, including city, state, and zip code. This ensures we can reach you effectively.
5. Select your race by circling the appropriate option. This is important for demographic purposes.
6. Indicate the days of the week you prefer to receive calls and circle your available time slots.
7. List two contacts we may reach if we cannot get in touch with you. Include their relationship to you.
8. Answer questions regarding your Community Treatment Team and living situation for better support.
9. Complete the medical assistance section by checking 'Yes' or 'No' for each provider listed.
10. Finally, read the agreement carefully, sign, and date the form before submission.

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