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Silence Kills Interest Form
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1.
What is your name?
(Required.)
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2.
At what email address and number would you like to be contacted?
(Required.)
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3.
What type of experience do you have with trauma domestic violence?
(Required.)
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4.
What is your level of knowledge of laws, justice, community engagement, etc., dealing with trauma?
(Required.)
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5.
What are you passionate about?
(Required.)
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6.
What are your areas of expertise?
(Required.)
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7.
Do you have any degrees, certifications, or professional experience in the Arts, Holistic Healing/Therapy, Spirituality, Self Defense, or in the Domestic Violence/IPV field?
(Required.)
Yes
No
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8.
Please list any degree, certification or personal/professional experience that you have in the Arts, Holistic Healing/Therapy, Spirituality, Self Defense, and DV/IPV.
(Required.)
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9.
Which role(s) are you interested in with Silence Kills?
(Required.)
Board of Directors
Advisory Board/Board Committee
Volunteer
Workshop Teacher/Instructor/Leader/Contractor/
Participant in our Healing Cohorts
Other (please specify)
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10.
Why do you want to be apart of Silence Kills?
(Required.)
Current Progress,
0 of 10 answered