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 3-5pages. No additional attachments are allowed. Each section
will be scored separately.
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)
Describe each agency involved in your
community response team, such as: (1-10 Points)
A Sexual Assault Forensic Examiner
Program.
A dedicated Sex Crimes Unit in law
enforcement.
A dedicated sexual assault prosecutor (s)
in the prosecuting attorney’s office.
A victim crisis intervention and advocacy
service.
How long have these individual services been
available? (1-5 Points)
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)
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)
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)
Why does this conference and
“challenging the legal process” seem appropriate for your community?
(1-10 Points)
Are there any special
considerations or circumstances supporting your qualifications as a
community? (1-10 Points)