Research
HSCO 511
Support Group Attendance Assignment Form
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Meeting 1:
Type of support/self-help group:
Meeting date and time:
Meeting address:
Name and phone number of leader/facilitator/chairperson:
Signature of leader/facilitator/chairperson:
____________________________________
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Meeting 2:
Type of support/self-help group:
Meeting date and time:
Meeting address:
Name and phone number of leader/facilitator/chairperson:
Signature of leader/facilitator/chairperson:
_____________________________________
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Meeting 3:
Type of support/self-help group:
Meeting date and time:
Meeting address:
Name and phone number of leader/facilitator/chairperson:
Signature of leader/facilitator/chairperson:
___________________________________
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Meeting 4:
Type of support/self-help group:
Meeting date and time:
Meeting address:
Name and phone number of leader/facilitator/chairperson:
Signature of leader/facilitator/chairperson:
_____________________________________
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Student: