peer mentor client application

Please fill out the following form. Once we receive it we will match you with one of our trained volunteer peer mentors.

Please note:

  • Once you have been matched you will have access to 6 (six) peer mentoring sessions.

  • These sessions need to be used within 6 (six) months of being matched with your Peer Mentor.

  • Our Peer Mentors are here for non emergent support and are not qulified crisis counselors.

  • If you are ever in immediate crisis you can call 911 or the Distress Centre 403-266-4357.

Name *
Name
Phone *
Phone
Please select one
Please let us know the approximate date(s)
When is your preferred availability? *
Please check all that apply