Steps Co Registration

Register for the Step Studies Co-Facilitator Training

* Indicates required field

1. I currently serve as a Co-facilitator or a Back-Up Co-facilitator. *

Yes No. If you marked no, please contact [email protected] for more extensive training.

2. I have completed 2 AWOLS or 2 Step Studies. *

Yes No. If you marked No, you are not eligible.

3. I am willing to take the Step Studies Co-facilitator Training. *

Yes. You will be contacted to set up your first training.

4. I am willing to shadow a Step Study Group to get a better idea of what is expected. *

Yes

5. I understand that I will serve as a Back-Up Co-Facilitator now and possibly a permanent Co-facilitator in the future. *

Yes

6. Name *

First

Last

7. Email *

8. Phone #: Please use this format xxx-xxx-xxxx *

9. U.S. State (please abbreviate) OR Country (If outside US) *

10. Time Zone (Choose one) *

11. Do you have any questions or comments? *

Submit