STICN New Member Survey
Name:
Email:
Phone Number:
Birth Month/Date:
Company/Organization:
Location:
Position:
Professional/Educational Specialty and Background:
Do you have any background Trauma-Informed Care?
Clear selection
If so, please describe:
How did you find out about the Southside Trauma-Informed Care Network?
What would you like to gain (personally or professionally) by being a member of STICN?
What skills or knowledge would you like to build by participating in STICN meetings?
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