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APPLICATION

Apply to Work Together

First name*

Last name*

Email*

Phone

Address*

What is bringing you to this work?

What led you to RRP?

What feels unresolved in relationships?

Prior therapy/group experience?

Concerns about group?

Current relationship status?

Why long-term work?

Can you commit to weekly 6 months?

Anything else?

I understand this is a structured long-term process

I understand not all applicants move forward

Services are educational and relational in nature and are not a substitute for licensed mental
health care.

contact

Susan B Hagen

First name

Email*

Subject

Message*

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