Facilitator Equiry Form

Name *

First

Last

Contact telephone number *

Email *

Which County do you live in? *

Which county do you live in?

If your county is not listed above, please specify below:

About you *

I have previous experience of working with young people
I work well alone and with others
I am comfortable speaking in group settings

Please check the boxes that apply to you.

Why would you like to become a Butterflies Facilitator? *

Please give a brief explanation of why you would like to become a Butterflies Facilitator.

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