Application Form
The aim of our website is to provide people who self-injure or those who want to understand more about self-injury a one-stop point for information and guidance. The information we provide is non-judgemental, informative and reliable. If you would like to add further information or display an innovative project related to self-injury that you are running please feel out the form below and we will get back to you. The information you provide will remain accredited to you, we feel that if your information can be helpful it would be useful for our servers to be able to access it from one location.
Email address *
What is the purpose of your information? *
Please upload the file you wish to display here. *
Please state why you would like to have your work on our website. *
How will it add on from the information currently provided on our website? *
Can you provide a list of references stating where your information has come from? *
If yes, please attach a list of references here.
Statement of Originality
I confirm that to the best of my knowledge and belief, the work provided in this document is my own material and has not been previously published or written by another person except where due references are made. In the case that it is written by a third party member, I can confirm that permission has been granted for the sharing and publication of this work on the Self-Injury Support website.
Please confirm whether you agree to the statement of originality. *
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