Culturally Informed Trauma Recovery Toolkit:
Video Submission Form
Please
refer to the call
for complete details.
First Name
Last Name
Email Address
I am a
Psychologist
Psychology student
In a related discipline
Other
Please describe
Coping Strategies Used
Advocacy/Activism
Spiritual/Religious coping
Seeking help/Survivor reaching out
Dance and other expressive arts
Other
Please describe
Cultural Considerations Given for the Following Identity Groups
Arab, Middle Eastern, and North African (AMENA)
Asian
Black/African American
Indigenous
Latina/o/x/e
Buddhist
Christian
Hindu
Jewish
Muslim
LGBTQIA+ Nonbinary of Color
Disabled
Refugees and Immigrants
Other
Please describe
I identify as a(n)
Arab, Middle Eastern, and North African (AMENA)
Asian
Black/African American
Indigenous
Latina/o/x/e
Buddhist
Christian
Hindu
Jewish
Muslim
LGBTQIA+ Nonbinary of Color
Disabled
Refugees and Immigrants
Other
Please describe
Video URL
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Vimeo
or
YouTube
link to your video
Video URL Password
If your video is protected, please provide the password
I have read and agree to the
Video Consent and Release Form
Yes
Contact Information