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STICN New Member Survey
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Name:
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Email:
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Phone Number:
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Birth Month/Date:
Your answer
Company/Organization:
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Location:
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Position:
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Professional/Educational Specialty and Background:
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Do you have any background Trauma-Informed Care?
Yes
No
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If so, please describe:
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How did you find out about the Southside Trauma-Informed Care Network?
Your answer
What would you like to gain (personally or professionally) by being a member of STICN?
Your answer
What skills or knowledge would you like to build by participating in STICN meetings?
Your answer
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