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ESCAPE
EmpowerEd - Survivor Advocacy & Consulting
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Contact Information
First Name
*
Last Name
*
Email
*
Phone
Affiliation
Group Name (if applicable)
*
Request Details
What topics are you requesting a presentation on? (Select all that apply)
Trauma-Informed Care in Higher Education (for higher education professionals)
Supporting Survivors through University Investigations (for community and nonprofit organizations)
Cultivating Care in Peer Groups (for student organizations)
Campus Considerations for University Survivors (for student organizations, community organizations, and higher education professionals)
Other
Do you have a preferred presentation date?
Yes
No
Not sure
What is the preferred length of the presentation or workshop you are requesting?
30 minutes
60 minutes
90 minutes
2 hours
Half-Day
Full-Day
Other
How many attendees are you anticipating?
Please describe the primary audience.
How will participants be joining?
In-Person
Virtually
Other
Please provide any other relevant information or desired learning outcomes related to this request.
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