Building Healthy Relationships to End Violence Grand Challenges Interest Form

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Please complete this form if you are interested in the Building Healthy Relationships to End Violence (BHREV) Grand Challenges. The Leadership Team will compile a list of interested people and will reach out with events, opportunities, and announcements.

First Name

Last Name

Email Address

Institution Name

Current Title

Which describe your areas of study/interest? Please select all that apply.

Child abuse & neglect

Intimate partner violence

Sexual assault/abuse

Teen dating violence

Elder abuse

Bullying

Racial (in)equity or anti-racism

Poverty

Other:

If applicable, which populations do you generally work with? Please select all that apply.

Children

LGBTQIA+/trans and gender non-conforming

Refugee/immigrant status

Other:

What theoretical lenses drive your work, if any?

Health and wellbeing (e.g., mental health, physical health); (in)equities; disparities

Womanism, feminism, chicana feminism

Trauma and trauma informed care

Systems and macro-level factors (e.g., policy, neighborhoods)

Other:

What core working groups are you interested in?

Mentorship

Scientific Leadership

Translation and Dissemination

Not interested at this time

Are you interested in serving as a co-lead for the BHREV Grand Challenges in the future?

Yes

I don't know

Clear selection

Do you want to be added to a mailing list when we have events or announcements?

Yes

Clear selection

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