Making a Difference Conference

Scholarship Application Form

Applications must be received by May 31, 2004. The contact person for each selected participant-community will be notified by June 30, 2004.

To apply for the U.S. Conference (October 26-29 in San Diego, California):
 
To obtain more information for the U.S. conference, go to www.evawinc.com/makingadifference. Please mail your completed application to: EVAW, Inc. PO Box 33, Addy, WA 99101-0033 or fax to (509) 684-9800. If you choose to fax your application, please follow up by mail to ensure that it has been received.
 
Please call (509) 684-9801 if you have questions or need assistance with the application. 
 

To apply for the Canadian Conference (October 12-15, 2004 in Ottawa, Canada):
 
To obtain more information for the Canadian Conference go to http://www.napasa.org/, Making a Difference. Please mail your completed application to: The Making a Difference Conference, c/o Professor Chris Alksnis, Contemporary Studies, Wilfrid Laurier University, 73 George St., Brantford, Ontario, N3T 2X3 or fax to (519) 759-2127. If you choose to fax your application, please follow up by mail to ensure that it has been received.
 
If you have questions or need assistance please phone (519) 756-8228, Ext. 5738 or e-mail (calksnis@napasa.org).  

   


Participant-Community Contact Information
 

Name of Participant-Community:
Name of Contact Person:
Institution Affiliation:
Full Mailing Address:
 
Phone / Fax:
E-mail Address:
 
 

Proposed Participants


Participant #1

Name (First, MI, Last):

Institution Affiliation/Title:

Full Mailing Address:

 

Phone / Fax:

E-mail Address:


I wish to apply for a full scholarship to attend the Making a Difference Conference as a member of the proposed team.
 
Signature _____________________________________________     Date ____________________
 







Participant #2

Name (First, MI, Last):

Institution Affiliation/Title:

Full Mailing Address:

 

Phone / Fax:

E-mail Address:


I wish to apply for a full scholarship to attend the Making a Difference Conference as a member of the proposed team.
 
Signature _____________________________________________     Date ____________________
 

 
 


 
Participant #3

Name (First, MI, Last):

Institution Affiliation/Title:

Full Mailing Address:

 

Phone / Fax:

E-mail Address:


I wish to apply for a full scholarship to attend the Making a Difference Conference as a member of the proposed team.
 
Signature _____________________________________________     Date ____________________
 




 

Participant #4

Name (First, MI, Last):

Institution Affiliation/Title:

Full Mailing Address:

 

Phone / Fax:

E-mail Address:


I wish to apply for a full scholarship to attend the Making a Difference Conference as a member of the proposed team.
 
Signature _____________________________________________     Date ____________________
 





 

Participant #5

Name (First, MI, Last):

Institution Affiliation/Title:

Full Mailing Address:

 

Phone / Fax:

E-mail Address:


I wish to apply for a full scholarship to attend the Making a Difference Conference as a member of the proposed team.
 
Signature _____________________________________________     Date ____________________
 





 

Participant #6

Name (First, MI, Last):

Institution Affiliation/Title:

Full Mailing Address:

 

Phone / Fax:

E-mail Address:


I wish to apply for a full scholarship to attend the Making a Difference Conference as a member of the proposed team.
 
Signature _____________________________________________     Date ____________________
 







Participant #7

Name (First, MI, Last):

Institution Affiliation/Title:

Full Mailing Address:

 

Phone / Fax:

E-mail Address:


I wish to apply for a full scholarship to attend the Making a Difference Conference as a member of the proposed team.
 
Signature _____________________________________________     Date ____________________
 


 



Participant #8

Name (First, MI, Last):

Institution Affiliation/Title:

Full Mailing Address:
 
Phone / Fax:
E-mail Address:
 
I wish to apply for a full scholarship to attend the Making a Difference Conference as a member of the proposed team.
 
Signature _____________________________________________     Date ____________________
 


Community Scholarship Application Questions

Please complete the following questions.  Print or type your responses on a separate sheet of paper. Please limit your responses to a combined total of 3-5 pages.  No additional attachments are allowed.  Each section will be scored separately.
 

  1. Does your community have a formal Sexual Assault Response Team that is comprised of different agencies/organizations working together in a formalized and coordinated way to deal with sexual assault/abuse incidents? If not, what informal arrangements are in place? (1-5 Points)
     

  2. Describe each agency involved in your community response team, such as: (1-10 Points)
    1. A Sexual Assault Forensic Examiner Program.
    2. A dedicated Sex Crimes Unit in law enforcement.
    3. A dedicated sexual assault prosecutor (s) in the prosecuting attorney’s office.
    4. A victim crisis intervention and advocacy service.
       
  3. How long have these individual services been available? (1-5 Points)
     
  4. In what ways have you worked collaboratively in the past? Please indicate how long the network of organizations/agencies has been working together, as well as key accomplishments that the network has achieved.  (1-10 Points)
     

  5. Does each agency collect (or have the demonstrated capacity to collect) basic descriptive statistics about the number of cases handled by each agency/organization, the referrals from one component of the network to another, and the cases’ eventual legal outcome? (1-5 Points)
     

  6. Does each agency collect (or have the demonstrated capacity to collect) basic descriptive statistics about the number of cases handled and their disposition? (1-5 Points)
     

  7. Why does this conference and “challenging the legal process” seem appropriate for your community? (1-10 Points)
     

  8. Are there any special considerations or circumstances supporting your qualifications as a community? (1-10 Points)