Participant Interest Form - A.N.B.U. Group Therapy Program
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A.N.B.U.'s Group Therapy Program is a first-of-its-kind group therapy model designed specifically to serve the needs of Tamil-identifying adult survivors of CSA within the GTA. To learn more about our research project that helped build this mode, go to www.anbu.ca/grouptherapymodel

If you are a Tamil adult survivor of childhood sexual abuse, or someone impacted by it, we invite you to share your interest in participating in future offerings of this group therapy program. 

Submitting this form:

By filling out the form below, you are sharing with us your interest in participating in the Group Therapy sessions. Submitting this form is not a confirmation of your participation. A.N.B.U. will conduct required intake procedures before confirming your participation.

Thank you for your interest in participating in this Group Therapy program.

First Name *
Last Name *
Do you identify as Tamil? *
Are you 18 years of age or above? *
Which city/town/reserve due you currently live in? *
Your current residential address/point of travel
What do you hope to explore, understand, and/or experience as a prospective participant of the A.N.B.U. Group Therapy Program? *
How did you hear about this project and participation form? *

Thank you for your interest in participating in A.N.B.U.'s Group Therapy Program. 

Please note:

  • Submitting this form is not a confirmation of your participation. A.N.B.U. will conduct required intake procedures before confirming your participation.
  • Sessions will be conducted for a closed group of participants, to a maximum of 10 participants.
  • It is vital to the process that you intend to and are available to attend all 10 group therapy sessions that will be scheduled.
  • Participation in this research project will be treated with confidentiality and anonymity as per A.N.B.U's confidentiality policy.
Next steps:
  • You will be scheduled for an intake meeting with a Tamil-identifying Therapist to ensure the program is appropriate for you given your specific needs for healing and therapy.
  • If all is well, we will confirm your enrollment and you can start attending sessions when the program is scheduled.

If you’d like to learn more about the A.N.B.U. Group Therapy Model or if you have any questions,  please reach out to ask@anbu.ca

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