Healing, Encouraging, & Rising Together (HEART) - for Latinas
There is no prescreen required for this group. You will be contacted by the group leader after submitting this form with the Zoom link.

Leader: Victoria Gonzalez, Ph.D.
This group will focus on creating connections; where Latinas can feel respected, validated, and affirmed. The aim is to help students find relief, gain awareness, and helpful coping strategies for managing the psychological impacts of oppression.
Email *
First Name *
Last Name *
Perm Number *
Phone Number
Can we leave a voice message at the phone number provided?
Clear selection
Comments
By checking below, I understand that if I have any questions I will call CAPS at (805) 893-4411 or email the group leader. *
Required
A copy of your responses will be emailed to the address you provided.
Submit
Never submit passwords through Google Forms.
reCAPTCHA
This form was created inside of University of California, Santa Barbara. Report Abuse