*1.First Name(Required.)

*2.Last Name.(Required.)

*3.Email Address (please use the email address linked to your Division 45 membership or your Wright Institute email address)(Required.)

*4.Affiliation (organization or school)(Required.)

*5.Professional Status(Required.)

Psychologist (PhD, PsyD, etc.)

Postdoctoral Fellow

Graduate Student

Allied Health Providers

Other (please specify)

*6.Please check ALL the sessions you will attend.(Required.)

Part I (11am - 12:30pm): Radical Healing Under the Cloud of Tyranny: Transforming Pain into Awareness, Hope, Action

Part II (12:30pm - 2pm): Transformative Approaches to Research on Radical Healing in Diverse Communities of Color

Part III (2pm - 3:30pm): Innovative Applications of the Psychology of Radical Healing Framework for POC Communities

Part IV (3:30pm - 5pm): Love, Black Girls: On Embodying the Psychology of Radical Healing Framework

*7.CEs?(Required.)

Yes

No

*8.Division 45 Membership Status(Required.)

Current member

Not a current member (please consider joining!)

IMPORTANT !

An email will be sent to you a week before the event, which will contain the Zoom registration instructions.

Please ensure that the email address you provided on this form is consistent with the email address you'll provide on the Zoom registration form.

Thank you!

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