COVIDconnections
Please join us for an online webinar series about grief, trauma, and healing.  Each session will be led by an expert in grief and trauma and will include small group discussions led by experienced counselors about how you are being impacted and how to apply best practices for healing in your own life.

We ask that you briefly share information about your interest in COVIDconnections to help us keep the space safe and secure for everyone.  If you are not comfortable sharing, please email us directly at info@covidsurvivorsforchange.org

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First Name *
Last Name *
City *
State
Zip Code *
Phone number *
Email *
Please briefly share you or your family's experience with COVID-19. *
What is the date of your loved one's passing? *
MM
/
DD
/
YYYY
How do you describe your ethnic origin (please check any that apply): *
Required
Are you 18 or over?
If you are comfortable sharing, what led you to participate in these webinars?
What do you hope to gain as a participant of these webinars?
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