Recovery Pathways Submission Form
Name
First Name
Last Name
Email
example@example.com
In which recovery centre have you been based?
*
Morcambe
Hull
Sheffield
Grimsby
Gateshead
Sunderland
Middlesbrough
Keighley
Doncaster
Kendal
Carlisle
Barrow
Other
Text to accompany your image(s)
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I confirm that I understand and agree to each of the following:
The Local Dug Recovery Evidence Base project is part of an IAF funded initiative in collaboration with the University of Derby.
I am happy to participate in this project and have done so voluntarily
Submissions are accepted where the work is completed by a person with lived experience of alcohol or other substance use dependence.
The submissions will be used for inclusion on a website which will naturally be publicly available worldwide and is being curated by a researcher and a web designer.
One photo and text describing what the photo represents and how it has helped your recovery per submission is required.
You can submit more than one entry.
Submission does not guarantee inclusion but we would hope that entries are used on the website except in exceptional circumstances.
The reason for non-inclusion will not always be informed but we will try our best to make contact to discuss.
Non-inclusion is not a reflection of the quality or creativity of the submission.
All submissions may be used for other publications such as academic journal articles, conferences, exhibitions or other media as part of the dissemination of the project.
For further information about this project please contact the coordinating team via
d.patton@derby.ac.uk
I understand I can submit my entry and request that my name and any other specified details are not included publicly if I wish.
I understand I can ask questions both prior to and after I have submitted my artwork
If I have any complaints about the handling of any aspect of this project I can email
d.patton@derby.ac.uk
I understand I can withdraw my consent for my submission to be used by emailing
d.patton@derby.ac.uk
I have read and confirm that I understand the statement above
*
I confirm and accept this statement
Please verify that you're human
*
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