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Registration Form
Email us at community@theuprisecollective.org with any questions or emergent needs you may have. We're honored you're interested in being in community with us!
**Update: Registration for January 25th: Data Justice is now CLOSED. Thank you!
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Name
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Email
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Agency/Organization
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Title
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County or Tribe Your Work is Based In:
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You will have access to different information and resources depending on your area, so we want to honor that to the extent we can.
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Which workshop(s) are you interested in attending?
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Select all that apply, and we'll be sure to keep you updated by email. All workshops are free and are funded by Oregon Health Authority.
January 25, 2024 Part I - Data Justice [REGISTRATION CLOSED]
February 8, 2024 Part II - From Provider to Accomplice: Harm Reduction in Mental Health Systems [REGISTRATION CLOSED]
February 22, 2024 Part III - Disability Justice and Body Sovereignty [REGISTRATION CLOSED]
March 7, 2024 Part IV - Indigenized Healing Practices
March 21, 2024 Part V - Acute Care, Now What? - Beyond the Moment of "Crisis"
Required
Do you have any licensure that we should be aware of?
Do you hold a current LCSW, QMHA/QMHP, Peer Support Specialist or Community Health Worker licensing, or any type of licensure that requires Continuing Education Units (CEUs)?
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Other:
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Will you be seeking CEU's for this workshop series?
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Other:
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If yes, please list state of license:
Oregon
Washington
Other:
Are you an NASW Member?
NASW: National Association of Social Workers. This series is pending approval for CEU's through the NASW, and they like for us to ask.
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Do you have any accessibility needs for this virtual workshop?
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Is there anything else you'd like to share?
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