Young Adult Grief Support Group

If you are a young adult (ages 18-25) grieving the death of a loved one, please consider joining our virtual support group through The Cove Center for Grieving Children. This support group is run by licensed clinician David Ortiz. The support group will cover topics related to the needs of grieving young adults. This is a safe space for peers to open up and support one another in navigating the challenging waters of grief in hopes of increasing coping tools, building community, and bearing witness to one another's pain.

**DISCLAIMER**

Participants in this group must be Connecticut residents only

Timeframe
This is a FREE virtual support group that will meet 1x weekly via Zoom on Thursdays from 7:30 pm-8:30 pm for 6 weeks, with an option to continue group if needed.

Group Participant's Information

First name

Last name

Street Address

Street Address Line 2

City

State

Postal / Zip code

Phone

Best time to call

Morning

Afternoon

Night

Are you currently receiving counseling or therapy?

Yes

If other, please describe

Have you ever participated in a Cove Program?

Yes

Death History

Please list all significant deaths (family members, friends, pets, etc.) in your life along with the indicated information below.

Who died (full name and relationship to you)

Cause(s) of death

Date of Death

Have you been told everything about the death?

Yes

Were you involved in the burial, funeral, or memorial service?

Yes

Please tell us the story of the death(s) which brought you to the Cove.

What specific concerns do you have regarding your grieving process/functioning?

How did you hear about the Cove?

Please share any other questions or concerns you may have:

I understand this is not a therapy group or a substitution for therapy. I acknowledge my understanding that this is a peer-based, mutual support group.

Once you submit your application you will be directed to our donation page. There is a recommended $25.00 one-time donation, which will help support our FREE Cove Virtual Programs and offset some of the costs of our organization, but you may contribute whatever is appropriate for your budget to support the services we provide. This process is optional. Thank you for your contribution.

Your application will be submitted to the site(s) of your choice and the site director will be following up with you to discuss your families needs and see if the program is an appropriate fit. Please allow 5-7 business days for this request to be processed. If you are filling out this application during June-August, please allow additional response time as we do not run our program during those months. If you have any questions please email us at info@covect.org or contact our Coordinating office to speak with someone at (203) 634-0500.

Thanks for submitting!

Young Adult Grief Support Group

Timeframe This is a *FREE* virtual support group that will meet 1x weekly via Zoom on Thursdays from 7:30 pm-8:30 pm for 6 weeks, with an option to continue group if needed.

Group Participant's Information

Death History

Please list all significant deaths (family members, friends, pets, etc.) in your life along with the indicated information below.

Timeframe
This is a FREE virtual support group that will meet 1x weekly via Zoom on Thursdays from 7:30 pm-8:30 pm for 6 weeks, with an option to continue group if needed.