CARRE Technical Assistance Request Form Survey

1.First and Last Name(Required.)

2.Email(Required.)

3.Job Title(Required.)

4.Organization Name(Required.)

5.Department/Center Name (if applicable)

6.How did you hear about CARRE?

7.Topic area you need support in (select all that apply):(Required.)

Mental health and psychosocial impacts of forced displacement

Creating trauma informed services for forcibly displaced populations

Trends in in crisis, conflict, disaster and displacement

Referral and care coordination with forcibly displaced populations

Building community capacity/peer support to respond to mental health needs in forcibly displaced communities

Creating safe and healing classrooms for children and families affected by crisis and conflict

Understanding disaster and displacement

Understanding the U.S. system for children and families affected by crisis and conflict

Comprehensive case management

Evidence-based practices with crisis and conflict affected children and families

Building appropriate services for children and families affected by crisis and conflict

Best practices in translation

Working with interpreters

Other (please specify)

8.Type of assistance needed:(Required.)

Individual or group consultation (phone/video/email)

Referrals to Subject Matter Experts (SME)

Client facing resource materials/tools

Staff facing resource materials/tools

Network Collaboration

Customized Trainings

Webinars

Other (please specify)

9.Please provide a description of your request.(Required.)

10.Which of the following best describes your organization?(Required.)

Other (please specify)

11.What geographic area is your program serving?(Required.)

12.Which of the following age groups is your program primarily serving (select all that apply)?(Required.)

Other (please specify)

13.Is your organization part of the National Child Traumatic Stress Network (NCTSN)?(Required.)

14.Please click below, or directly subscribe yourself on our website if you would like to sign up for our mailing list and receive CARRE's quarterly newsletter as well as updates on upcoming webinars and trainings. CARRE expects to send no more than 12 emails a year.

If you would like to receive more information about the National Child Traumatic Stress Network (NCTSN), please visit their website.

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CARRE Technical Assistance Request Form

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