CCD Research Participation Sign Up Form
Please fill out the form to be considered for participation.
Full Name
*
First Name
Last Name
Credentials
(e.g., LMHC, LMFT, LICSW, etc.)
Email Address
*
Confirmation Email
Phone Number
*
-
Area Code
Phone Number
Work Type
Have you undergone CCD training before?
*
Yes
No
Are you interested in participating as a control group member for our research study on the CCD framework?
*
Yes
No
Are you available to attend the CCD training series in fall 2024?
*
Yes
No
How did you hear about this research opportunity?
I understand that my participation in this research study is voluntary, and I have the right to withdraw at any time without consequence. I consent to the use of my personal information for the purpose of this study. I understand that my data will be handled confidentially and will only be used for research purposes. By submitting this form, I confirm that I am at least 18 years old.
*
I consent to participate in the research study.
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