This voluntary form will be used to choose volunteers for online demonstrations during a supportive SE demonstration day workshop with SE faculty member Abi Blakeslee. This information will be seen only by Dr. Blakeslee and confidentially disposed of at the end of the workshop. We will be recording these demos online FOR TRAINING purposes only.  The content will only be viewed during the SE workshop. No information from the demo form here that you provide will be revealed in public without your consent.

本申請表僅用來選擇線上示範個案的案主,示範個案會在支持性的示範個案工作坊裡由 SE 訓練師亞碧.布萊克斯利進行。只有布萊克斯利博士會看到您填寫的資訊,且這些資訊會在工作坊結束後隱密地銷毀。我們會線上錄製示範的過程,但錄影僅供該工作坊使用。錄影內容只會在該次 SE 示範個案工作坊期間觀看。在未獲得您的同意前,本示範申請表裡的任何資訊都不會公開。

Note: This is meant to be a live experience. All demos will be recorded and replayed live for demo day.
Volunteers ONLY will have the option to view and decide if you would like to allow your demo to be shown for educational purposes. Permission can be offered for it to be shared in a two-way release. If a two-way release is granted, you can also show the video to others for educational purposes. 

註:此為現場示範。所有的演示將於示範日當天進行錄影與重播。
僅個案志願者,有權在工作坊後查看並決定是否授權亞碧在日後可出於教育目的,播放您的示範個案錄影。錄影也可雙向共享。在取得雙向共享授權後,示範志願者亦可出於教育目的,播放此影片供他人觀看。

Requirements:
It is essential for the online demo that you have a steady Internet connection.
The demo space must be indoors, and in a quiet, private location with no other people around to ensure privacy.
Please have a set of functioning (and pre tested) ear buds/microphone available as backup, in case the sound begins to drop out or quality of sound is poor.
Once you confirm you will be able to do a demo, our tech support will reach out to you to schedule a brief tech check to make sure everything is operating smoothly.
If all of these requirements are acceptable, please enter as much information as possible below to help Abi determine the best participant for this Live Demo.

必要條件:

參與線上示範時,請確保您擁有穩定的網路環境。
請備好一副功能正常(且經過預先測試)的耳機 / 麥克風作為備用,以免出現音訊、音質等相關問題。
一旦確認您能夠擔任示範案主,我們的技術人員將與您聯繫,安排一次簡短的技術檢查,以確保一切順利進行。
如果您能夠接受上述要求,請盡量在下方提供充足資訊,以便亞碧能為此次示範選出最適合的人選。

If a true emergency occurs during the demo can we contact your trusted or emergency contact? (We do not anticipate any issues to arise but this is a supportive precaution) 如果在示範過程中發生了很緊急的狀況,我們可以聯絡你信任的聯絡人或緊急聯絡人嗎? (我們不認為會出現任何問題,但這是一種支持性的預防措施)
Please briefly describe up to three relevant traumas from your life that you have heard about or know from memory. 請簡述你生命中的三個創傷,可能是你記得的,也可能是別人告訴你的。
Please briefly describe up to three relevant traumas from your life that you have heard about or know from memory. 請簡述你生命中的三個創傷,可能是你記得的,也可能是別人告訴你的。
Please briefly describe up to three relevant traumas from your life that you have heard about or know from memory. 請簡述你生命中的三個創傷,可能是你記得的,也可能是別人告訴你的。
Please briefly describe up to three trauma symptoms that you would like to work on if you were chosen for a demonstration during the training. 若你被選擇成為示範個案,你會想處理哪個創傷症狀?請簡述三項中的其中一項。  
Please briefly describe up to three trauma symptoms that you would like to work on if you were chosen for a demonstration during the training. 若你被選擇成為示範個案,你會想處理哪個創傷症狀?請簡述三項中的其中一項。  
Please briefly describe up to three trauma symptoms that you would like to work on if you were chosen for a demonstration during the training. 若你被選擇成為示範個案,你會想處理哪個創傷症狀?請簡述三項中的其中一項。  
If you made progress with the resolution of the traumas and symptoms you’ve shared, what are three improvements in your life you would hope for yourself? 如果您在解決所經歷的創傷和症狀方面取得了進展,那麼您希望自己的生活有哪三項改善?
If you made progress with the resolution of the traumas and symptoms you’ve shared, what are three improvements in your life you would hope for yourself? 如果您在解決所經歷的創傷和症狀方面取得了進展,那麼您希望自己的生活有哪三項改善?
If you made progress with the resolution of the traumas and symptoms you’ve shared, what are three improvements in your life you would hope for yourself? 如果您在解決所經歷的創傷和症狀方面取得了進展,那麼您希望自己的生活有哪三項改善?
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