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Second Chance at Life
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Ph. (309) 240-6065
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Guest Speaker Form
Contact Information
Preferred Speaking Role
Share Personal Testimony
Teach a Life Skill
Recovery/Mental Health Topic
Employment/Workforce Topic
Motivational/Encouragement
Other
Availability
Tuesday (Recovery group)
Thursday (Life Skills Classes)
Tell Us About You
1. What is your story, message, or topic?
2. Why do you want to speak to our participants?
3. Have you spoken in group settings before?
Yes
No
Do You Need Anything?
Let us know if you need a projector, handouts, or other materials
Anything Else You'd Like to Share?
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