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August 21, 2008













Training & Technical Assistance Request Form for Grantees


Instructions: You may either fill out and submit this form on-line or download the form and fax it to us at (520) 622-7558. Upon receipt of your TA request, Unified Solutions will contact you within 1-2 business days to make further arrangements.

See our list of Training Topics and Workshop Descriptions here.
Program Name:
Tribe:
Contact Person: Phone:
Date(s) requested for service: Time of day/#of hours:
What is the most important issue to be addressed right now, and why?


What type of assistance would you like? (Check those that apply)
On-site
One-to-One Phone contact
Financial Planning Meeting
Program Planning Meeting

Please choose from the following Training Topics, or tell us what you need if it is not on this list
Domestic Violence Training for Law Enforcement
Dating Violence
Grant Writing
Basic Advocacy Skills, including Crisis Intervention
Working with Adult and Child Sexual Assault Survivors
Skills for Victim Assistance Program Managers
Elder Abuse
Overcoming Compassion Fatigue & Burnout
Other
Estimated Number of People to be trained:
Targeted Audience:
(hold down CTRL key to make multiple selections)




This project is supported by Grant No. 2002-VR-GX-0009 awarded by the Office for Victims of Crime, Office of Justice Programs, US Department of Justice. Points of view in this document are those of the author and do not necessarily represent the official position or policies of the US Department of Justice.