Care Provider Q&A Session

First Name ^*

Last Name ^*

Email ^*

What county do you live in? (Please select one) ^*

Hampden

Hampshire

Franklin

Berkshire

Please select one: ^*

I have never heard of Shared Living before this.

I have heard of Shared Living, but don’t know too much about it.

I know a little about Shared Living.

I am knowledgeable about Shared Living but have never participated in it.

I have done Shared Living in the past and wish to learn about Pathlight’s process to become a Care Provider.

How did you hear about this Q&A Information Session? Please select all that apply: ^*

Friend/Family Member

Pathlight’s Website

Ruth’s YouTube Video

Social Media (Facebook, Instagram, etc.)

Craiglist

Flyer/Ad

Other

Registration Form