Peer Support Application

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Peer Support Volunteer Form

Life Experiences:

The death/loss of a family member or loved one

Marital separation and/or divorce

Infidelity in a relationship

I have been in a relationship where there was physical, verbal or emotional abuse

Miscarriage, stillborn or other traumatic pregnancy complication

I have supported my spouse/significant other through a critical incident

I have attempted suicide in the past

I have lost a loved one or close friend due to suicide

I can understand why a person may feel suicidal when the pain they are experiencing becomes overwhelming

I have struggled with an addiction (ie: alcohol, drugs, sex, etc.)

I have struggled with compulsive behavior (ie: gambling, hoarding, shopping, etc.)

I have been in a relationship where my significant other struggled with an addiction

I have been in a relationship where my significant other struggled with compulsive behavior (ie: gambling, hoarding, shopping, etc.)

I am currently seeking mental health care (ie: counselling, mediation, etc.)

I have accessed mental health care in the past (ie: counselling,mediation, etc.)

I am comfortable/willing to discuss and provide referrals and information on abortion

I have been convicted of an indictable offense

I have a health condition that can be made worse with stress

Thanks for submitting!

Charitable Organization #700398498RR0001

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