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:	Select One AK: Alaska AL: Alabama AR: Arkansas AZ: Arizona CA: California CO: Colorado CT: Connecticut DC: District of Columbia DE: Delaware FL: Florida GA: Georgia HI: Hawaii IA: Iowa ID: Idaho IL: Illinois IN: Indiana KS: Kansas KY: Kentucky LA: Louisiana MA: Massachusetts MD: Maryland ME: Maine MI: Michigan MN: Minnesota MO: Missouri MS: Mississippi MT: Montana NC: North Carolina ND: North Dakota NE: Nebraska NH: New Hampshire NJ: New Jersey NM: New Mexico NV: Nevada NY: New York OH: Ohio OK: Oklahoma OR: Oregon PA: Pennsylvania RI: Rhode Island SC: South Carolina SD: South Dakota TN: Tennessee TX: Texas UT: Utah VA: Virginia VT: Vermont WA: Washington WI: Wisconsin WV: West Virginia WY: Wyoming
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.)