Wrap-Application - Mental Health Association San Francisco

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WRAP® Facilitator Training Application
May 5th through 9th, 2014
Thank you for your interest in becoming a WRAP Facilitator. This training is
appropriate for anyone who would like to facilitate WRAP® groups and work with
others to develop their own WRAP. Attendees are expected to have a solid
working knowledge of WRAP and share during the training their experiential
knowledge of how WRAP can work.
Before attending the seminar, it is expected that have and use your own
WRAP.
The costs is $1,300.00 per person (Groups may be eligible for group discount
rates).
Please fill out the following questions so that we can register you for this training.
Name as you would like it to appear on your certificate:
_______________________________________________________________
Street Address:
_______________________________________________________________
City:
_______________________________________________________________
State & Zip Code:
_______________________________________________________________
Email Address:
_______________________________________________________________
Cell Phone Number:
_______________________________________________________________
870 Market Street, Suite 928, San Francisco, CA 94102
Phone: (415) 421-2926  Fax: (415) 421-2928  www.mentalhealthsf.org
Organization:
_______________________________________________________________
Have you completed a WRAP Class, WRAP workshop, or the Copeland Center's
Correspondence Course? (Circle one)
Yes
No
If yes, when and where did you complete a WRAP class?
___________________________________________________________
___________________________________________________________
If you have not, how were you able to do your WRAP?
___________________________________________________________
___________________________________________________________
What is your reason for wanting to learn to facilitate WRAP® classes?
___________________________________________________________
___________________________________________________________
We look forward to contacting you soon.
For questions or training information, please contact:
Terri Byrne (extension 306)
SOLVE Program Coordinator
Or
Rachel Del Rossi (extension 303)
Training Coordinator
Mental Health Association of San Francisco
870 Market St. Suite 928
San Francisco, CA 94102
(415)421-2926
(415)421-2928 fax
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