Greetings, and thank you for visiting this registration site. Participant capacity for this training workshop has been reached.

Please do NOT enter your information through this survey, as the results are no longer being collected.

If you wish to be placed on the workshop waiting-list, and/or would like to learn more about the Intercultural Counseling Connection initiative and upcoming workshops on refugee mental health issues, please provide your name and email address in the space below, and/or contact Lauren Goodsmith at lgoodsmith.connection@gmail.com .

You can also learn more about the Intercultural Counseling Connection at our website:

www.interculturalcounseling.org  

Thank you for your interest in this effort to improve access to mental health services for asylum seekers, refugees, and other forced migrants in Maryland.

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* 1. Your first name

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* 2. Your last name

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* 3. Your licensure and degree information

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* 4. Your agency/organization/clinical practice affiliation(s)

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* 5. Please provide your contact information (NOTE: Please be sure to include your correct email address, as it will be used to contact you regarding workshop confirmation and details):

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* 6. Please briefly describe your experience doing trauma-informed clinical work.

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* 7. Please indicate any prior experience you have working with refugees, asylum-seekers, or other forced migrants or immigrants.

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* 8. Are you able to make a commitment to providing therapeutic services for at least one Connection (refugee, asylum-seeking, asylee or immigrant) client on a pro bono basis in the coming 12 months?

(Note: The Connection will provide trained interpreters whenever needed for therapeutic sessions.)

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* 9. Will you be seeking CEUs for this workshop?

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* 10. If "Yes," what type of CEUs?

NOTE: A limited number of workshop spaces will be available for graduate students in clinical mental health tracks who are available to volunteer as workshop aides. For more information, please contact Lauren Goodsmith at lauren.goodsmith@gmail.com .
This training workshop will be held at the LOYOLA CLINICAL CENTERS, BELVEDERE SQUARE:
5911 York Road, Suite 100, Baltimore, MD 21212.

Additional details on location, parking, and access will be provided following registration confirmation.
Thank you for your interest in the Intercultural Counseling Connection initiative. For further information, please contact Lauren Goodsmith at lauren.goodsmith@gmail.com or (410) 235-2465.

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