MnM Sphere: Registration Form

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

This event is being hosted as a part of 2021 Domestic Violence Prevention & Awareness Month at Texas A&M University, which is organized by Health Promotion in the Offices of the Dean of Student Life. We appreciate your interest in participating.

Event Description: It has long since been accepted in our society that male-identified individuals are able to continue unhealthy behavior or explain away harmful actions towards others, particularly women. As the number of domestic violence cases increased during the pandemic, the importance and necessity of improving and fostering healthier relationship dynamics and calling out these negative behaviors out has become increasingly apparent. Join our conversation as we explore what makes a relationship healthy, while also addressing evidence-based concepts that have been strongly linked to men’s experience with unhealthy or abusive relationships: systemic power dynamics, communication patterns, and substance use. Our conversation will focus on the intersection of these public health issues through the topics of men causing harm, men receiving harm, bystander intervention, and creating new norms on campus.

Email *

First and Last Name *

UIN *

In which format would you like to attend the event? *

I will attend in person (Student Services Building, Room 108. 40 spaces available)

I will attend virtually (Zoom link will be sent to you through email. 100 spaces available)

Primary Classification *

Undergraduate Student

Graduate or Professional Student

Please indicate, as you are comfortable, your gender identity and/or gender expression: For Domestic Violence Prevention & Awareness Month, this event is created to provide a space for individuals who identify as male to explore the concept of masculinity in a way that is personally reflective of their experiences with and knowledge of power-based personal violence. We encourage participants with this identity to attend, so we can share as much perspective as possible. However, this event is still open to everyone, regardless of how they identify. *

Major: *

Student Org Involvement (if none, put NA) *

What does a healthy relationship look like to you? This could be with a friend, family member, or partner. *

What is one barrier you have when it comes to addressing and correcting negative relationship behaviors in yourself or others? *

What is one thing you want to learn from this event? *

Will you need ADA accommodations for this event? *

Yes

If you need ADA accommodations, please describe those needs so we can assist.

Send me a copy of my responses.

Submit

Clear form

Never submit passwords through Google Forms.

reCAPTCHA

Privacy Terms

This form was created inside of Texas A&M University. Report Abuse

Forms