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Counselors Helping (South) Asians / Indians

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chai

Current Role in CHAI:

Year Joined: *

Enter the year that you joined CHAI.

Reason for Joining:

What are some skills you bring to help CHAI serve the community? What are some ways you’d like to help CHAI support the mental health and wellness of the South Asian community?

Account information

Username: *

Your preferred username; punctuation is not allowed except for periods, hyphens, and underscores.

E-mail address: *

A valid e-mail address. All e-mails from the system will be sent to this address. The e-mail address is not made public and will only be used if you wish to receive a new password or wish to receive certain news or notifications by e-mail.

personal

Last Name: *

First Name: *

Title:

Professional Background:

Professional Discipline: