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Stigma Reduction Committee (Summer 2022- Spring 2023) Sign Up form
please keep in mind that we can only accept MAX 10 people into SRC at a time. we will contact you and add you to our google calendar if you are accepted
* Indicates required question
Name and pronouns
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Your answer
Email
*
Your answer
Mailing Address
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Your answer
t shirt size
*
XS
S
M
L
XL
XXL
Are you a returning SRC member?
*
yes
No
Are you committed to attend ALL the SRC meetings scheduled so far via zoom?
September 14th 2022- already passed
December 5th 2022- already passed
February 22nd 2023
April 26th 2023
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yes
No
Which California county do you live in?
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Your answer
What is your specific Asian American ethnicity?
*
Chinese American
Filipino/Filipina/Pilipin
Vietnamese American
Korean American
Pacific Islander American
Cambodian, Thai, Indonesian, and other Southeast Asian group
Japanese American
South Asian/ Desi (e.g. Indian, Pakistani, Bangladeshi, Nepalese, Burmese, Sri Lankan)
more than one race/mixed race
Other:
What is your sexual orientation and gender?
Your answer
Can you describe your mental health experience as an Asian American and involvement with the Asian American community in California?
Your answer
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