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Add a Support Group

STEP ONE: Tell us about the Support Group Coordinator:
(For security purposes, this information will NOT be posted on the web site; we will use it for verification purposes only. The email address will be hidden and used on a form for potential attendees to contact the coordinator for additional information about the support group meetings.)
Coordinator's Name:
Daytime Phone Number:
Evening Phone Number:
Email:
Street Address:
City:
State/Province:
Country:
Zip:
Use the space below for an additional contact name for your support group if applicable.
Asstistant's Name:
Asst. Daytime Phone Number:
Asst. Evening Phone Number:
Asst. Email:

STEP TWO: Tell us about the Support Group (Private Information):
(This information will NOT be posted on the web site. We will use if for verification purposes only.)

Where do you hold the meetings?

How long has your support group been active?
(Please check each statement that describes your support group history and background.)

We are trying to start a new support group.
We have not yet had our first meeting.
We have met fewer than 5 times.
We have met 5-10 times.
We have been meeting less than 6 months.
We have been meeting for 6-12 months.
We have been meeting for 1-2 years.
We have been meeting for 2 years or more.
We are an established support group.

STEP THREE: Tell us about the Support Group (Public Information):
(This information will be posted on the web site. For security purposes, please do NOT include the exact location or street address of the support group meetings.)
Name of Support Group:
City:
State:
County:
Support Group Web Address:

Please describe the meeting agenda and/or mission statement:
(This paragraph will be posted on the web site. Please use correct punctuation and complete sentences. Limit your answer to 5-6 sentences in one paragraph please.)

STEP FOUR: Tell us about the Logistics of the Meetings:
All of the information in the logistics section of this form WILL BE POSTED on the MarineParents.com web site.

What days and times do you meet?
(This will be posted on the web site.)

Who should attend the meetings? Check all that apply:
Adults Only
Adults
Children
Teens

Parents
Spouses
Family
Friends

Marines
Military Personnel

Is the meeting open to all branches of the military?
YES, open to all military branches
NO, open to Marine Corps only

Is childcare provided during the meetings?
YES, childcare is provided.
NO, childcare is NOT provided.

If YES, include additional information about childcare:
(This will be posted on the web site. Include information such as costs involved, shared responsibility, to be announced, on an as-needed basis only, etc.)

Information about food and/or refreshments:
(This will be posted on the web site. Include things like: we don't make plans for food or refreshments, bring a softdrink, drinks provided, we meet at a restaurant, we have a potluck, we take turns bringing dessert, etc.)



   
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MarineParents.com, Inc.
PO Box 1115
Columbia, MO 65205
Phone (573) 449-2003
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MarineParents.com is an IRS-approved 501(c)(3) public charity,
a Marine Corps Charity Partner, and Official Marine Corps Trademark Licensee.
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Neither the United States Marine Corps
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Department of Defense has approved,
endorsed, or authorized this service.