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CARRE Technical Assistance Request Form
Welcome!
Welcome to Center for Adjustment Resiliency Recovery's (CARRE) Technical Assistance Request form. Please complete the following form if you would like to request any type of assistance from the CARRE team so that we may better assist you.
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1.
First and Last Name
(Required.)
*
2.
Email
(Required.)
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3.
Job Title
(Required.)
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4.
Organization Name
(Required.)
5.
Department/Center Name (if applicable)
6.
How did you hear about CARRE?
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7.
Topic area you need support in (select all that apply):
(Required.)
Mental health and psychosocial impacts of forced displacement
Creating trauma informed services for forcibly displaced populations
Trends in forcibly displaced populations, policy & needs
Referral and care coordination with forcibly displaced populations
Building community capacity/peer support to respond to mental health needs in forcibly displaced communities
Creating safe and healing classrooms for children forcibly displaced
Psychological evaluations for humanitarian immigration relief
Understanding the migration journey
Contextual understanding of the refugee resettlement system
Understanding the asylum system
Understanding the U.S. system for unaccompanied children
Comprehensive case management
Evidence-based practices used in humanitarian settings
Understanding different types of humanitarian immigration relief in the U.S.
Building culturally appropriate services
Best practices in translation
Working with interpreters
Other (please specify)
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8.
Type of assistance needed:
(Required.)
Individual or group consultation (phone/video/email)
Referrals to Subject Matter Experts (SME)
Client facing resource materials/tools
Staff facing resource materials/tools
Network Collaboration
Customized Trainings
Webinars
Other (please specify)
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9.
Please provide a description of your request.
(Required.)
*
10.
Which of the following best describes your organization?
(Required.)
Resettlement Agency or affiliate
Ethic Community Based Organization (ECBO)
Healthcare Provider
Mental Health/Behavioral Health Provider
Educational Institution
Social Services Provider
Governmental Agency
Other (please specify)
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11.
What geographic area is your program serving?
(Required.)
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia (DC)
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Marianas Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Virgin Islands
Washington
West Virginia
Wisconsin
Wyoming
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12.
Which of the following age groups is your program primarily serving (select all that apply)?
(Required.)
Infant/toddler (ages 0-4)
Children (ages 5-9)
Youth (ages 10-14)
Teen (ages 15-19)
Adults (ages 20-60)
Older adults, (ages 60+)
Families
All of the above
Other (please specify)
*
13.
Is your organization part of the National Child Traumatic Stress Network (NCTSN)?
(Required.)
Yes - Category I
Yes - Category II
Yes - Category III
Yes - affiliate organization
No
Don't know
14.
Please click below, or directly subscribe yourself
on our website
if you would like to sign up for our mailing list and receive CARRE's quarterly newsletter as well as updates on upcoming webinars and trainings. CARRE expects to send no more than 12 emails a year.
If you would like to receive more information about the National Child Traumatic Stress Network (NCTSN), please visit
their website
.
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