Interest Form: UCLA STAND for All for Community Colleges

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UCLA is offering FREE self-guided online lessons to teach participants evidence-based cognitive behavioral skills for self-management of low mood and anxiety. Participants have the option of supplementing these lessons with remote coaching support. We call this program STAND for All.

Join us to learn skills to improve your emotional health like building healthy sleep habits and dealing with low mood, anxiety and panic. You will have a choice from a variety of courses so that you may choose what is best for your specific needs.

If you are interested in exploring the lessons, please fill out this form so we can create an account for you. These services are free, self-paced and you are welcome to pause at anytime.

If you are concerned about confidentiality, please feel free to create a new anonymous email account and use an alias (different name) and different birthday for registration with us. While we will observe which participants return to our course website and we may communicate with you using this information, we do not need to know your real identity.

To learn more about STAND for All, please visit our website at https://www.stand.ucla.edu/standforall.

First Name *

Last Name *

Email *

The way the program is designed and the fact that it is supported by certified lay people means that it is not appropriate for individuals experiencing acute symptoms, who are currently in treatment, or requiring treatment. By checking the box below, I am confirming that I am not suffering from acute symptoms. *

I confirm my understanding and that I'm not suffering from severe symptoms

I cannot confirm. I understand that STAND for All is not the right program for me.

With what school are you affiliated? *

Please note if you are not affiliated with a community college, the program is still open to you; we are just tracking participants by school. Please indicate "n/a" in the "other" field.

East Los Angeles College (ELAC)

El Camino College

Santa Rosa Junior College

Shasta College

West Hills College Lemoore

Other:

Pronouns

she/her/hers

he/him/his

they/them/theirs

Other:

Clear selection

Date of birth *

We need to enter a date when creating the account for access. We will not verify the date but you may need to have it if you seek to reset your password.

YYYY

Phone Number (optional)

For future communications regarding reminder notifications, do you prefer text or email?

Text

Other:

How did you hear about us? Please check all that apply.

Newsletter

Canvas Annoucement

Social Media Post

Word of Mouth

Referred by Faculty

Referred by Health Services

Assigned Classwork (Please indicate which course in the "other" field, e.g., Abnormal Psychology, Psychology 1, etc.)

Other:

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