Recovery From Trauma-Support & Skills- Participants Profile Form
This form will help us to know you better in context of course interest, relevance and implications. 
Please know that the course is for grassroots field applications. 
It is designed for cultivating trauma support skills and practices.  
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Name *
Email address (Preferred for communications) *
Gender *
Age *
Where are you located? (Place) *
Comfort with language? *
Yes
No
English- Read
English- Write
English- Understand
Hindi- Read
Hindi- Write
Hindi- Understand
Educational Qualification *
Describe your educational background briefly, feel free to highlight specific courses you may have done before, which have relevance to trauma or mental health work? *
Working Currently (Either Paid or Voluntary, Full Time or Part Time) *
Designation *
Required
Describe your work briefly- what is your work experience and expertise? *
Your reason for joining the course *
How do you propose to integrate course learnings in your current or other work? *
Do you self identify as a trauma survivor? *
Have you fully read and understood the course brochure and what the training entails? *
Share your contact details and our team will get in touch with you *
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