Attestation Form for "The Justice Project: 2SLGBTQIA+ Affirming Care"
Please complete this form when you have finished reading/watching your 6 media (Ted Talks/videos/books) on racial and social justice.
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Empowering relationships... Redwood Empire Chapter of California Association of Marriage and Family Therapists
First Name *
Last Name *
Your email address *
Your phone number *
Where shall we mail your Certificate of Achievement? Please give us your mailing address. *
1. Did you read Gender Queer: A Memoir? *
Required
Gender Queer: A Memoir - please answer the following questions. 1) What was the most important take-away for you from this book? 2) How will the information you learned impact you and your clients in your therapy practice? *
2. Did you read The Savvy Ally by Jeannie Gainsburg? *
Required
The Savvy Ally - please answer the following questions. 1) What was the most important take-away for you from this book? 2) How will the information you learned impact you and your clients in your therapy practice? *
3. Did you read  A Clinician's Guide to Gender-Affirming Care: Working with Transgender and Gender Nonconforming Clients? *
Required
A Clinician's Guide to Gender-Affirming Care: Working with Transgender and Gender Nonconforming Clients   - please answer the following questions. 1) What was the most important take-away for you from this book? 2) How will the information you learned impact you and your clients in your therapy practice? *
4. Please write the name of the Bite-sized Media that touched you the most. *
Thinking of this Bite-sized Media selection OR considering all the Bite-sized Media as a whole, please answer the following questions. 1) What was the most important take-away for you from this work? 2) How will the information you learned impact you and your clients in your therapy practice? *
5. Please write the titles of the other 2 media/books/videos you read/watched. Only one is needed if you attended Melle Browning's event for credit. *
Please answer the following questions. 1) What was the most important take-away for you from this/these media/books? 2) How will the information you learned impact you in your therapy practice? *
6. Did you attend Melle Browning's presentation on Dec. 2, 2022 (or watch the video), "Affirmative Therapy with  Trans/Gender Expansive Clients" in lieu of reading one book title? *
With regard to the speaker meeting, please answer the following questions. 1) What was the most important take-away for you from this work? 2) How will the information you learned impact you and your clients in your therapy practice? If you did not attend, please leave this question blank.
Are you in a RECAMFT Committee or on the Board of Directors? *
If you are on a committee or the Board please let us know which one.
Please let us know how participating in "The Justice Project" has impacted you. *
We are hoping to feature some small quotes with the therapist's picture sprinkled throughout the website. We will ask permission individually for anything you've written that we would love to quote. However, if you'd like to opt out completely, please check the "No, I opt out" box below. *
Required
RECAMFT's new Rainbow Rings logo by non-binary digital artist, Sol Meade.
How do you like RECAMFT's new Rainbow Rings logo created especially for this Justice Project? *
I hate it!
I love it!
We would love to hear your feedback on RECAMFT's new Rainbow Rings logo.
How did you like participating in The Justice Project: 2SLGBTQIA+ Affirming Care? *
I didn't like it.
I found it very valuable.
We would love to hear your feedback for how we can improve The Justice Project in the future?
Anything else you'd like us to know?
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