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Alumni in Action: Pre Registration

Thank you for your interest in providing counselling services to survivors of SGBV as part of the Alumni in Action Programme. We look forward to meeting you. Below are a series of quick questions that will give us the information we need to send you more information about the programme so that you can make an informed decision about participating further in the programme. 

If you have any questions please do not hesitate to contact Yumna Seadat on 0216503530 or email yumna.seadat@uct.ac.za

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* 1. Are you physically located in South Africa?

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* 2. Are you a registered psychologist/clinical social worker?

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* 3. Do you have experience in working with Trauma and Stressor-Related Disorders?

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* 4. Please provide your Practice Registration Number

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* 5. What is your area of psychology expertise?

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* 6. Do you have experience in the following areas?

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* 7. What therapy interventions and techniques do you use with your practice? 

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* 8. What modality are you able to conduct your practice?

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* 9. Are you available to attend either physical or online training (approximately 5 hours) 

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* 10. Please provide your contact details so that we can send you further information via email

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* 11. Please upload your CV. Please note that the CV must be of the person who will be providing the sessions to survivors. 

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* 12. What is your gender and age category?

  25-30 years old 31-35 years old 36-40 years old 41-45 years old 46-55 years old 56- 60 years old 60 years and older
Man (incl. transman)
Woman (incl. those who identify as womxn and transwoman)
Gender non-conforming or gender non-binary
Trans*
Another identity outside these categories

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* 13. Which racial category do you identify with?

T