Registration for OVW Training 2009, Philadelphia

 

LEGAL MOMENTUM AND THE OFFICE ON VIOLENCE AGAINST WOMEN

INVITE YOU TO FOUR DAYS OF GRANTEE TRAINING IN
PHILADELPHIA


APRIL 6-9, 2009
LOEWS PHILADELPHIA HOTEL
1200 MARKET STREET
PHILADELPHIA, PA 19107

For reservations please contact the hotel directly at (215) 627-1200

For those of you who will be observing Passover, Legal Momentum will be organizing a Passover meal. 
This meal is not part of the training or sponsored by OVW.
If you are interested in attending, please check the box provided in the registration form below.
Details about the meal, including menu and prices will be posted March 5.

 

REGISTRATION FORM



Prefix
First Name
Middle Name
Last Name
Suffix
JobTitle
Organization
Street/Mailing Address 1
Street/Mailing Address 2
Street/Mailing Address3
City
State
Zip
Phone
Fax
E-mail
TRAINING SESSION CHOICES
For a more detailed description of Legal Momentum's OVW Grantee Training Program, please click here.
  Session 1: Best Practices for Serving Immigrant Victims: Training for OVW Grantees

Recommended for grantees with up to three years of experience working with immigrant women.
  Day 1 of Session 2: VAWA Confidentiality and Access to Public Benefits for Victims
Trainees attending Session 1 may also opt to stay for Day 1 of Session2.
  Session 2: Emerging Issues: New Tools to Help Immigrant Victims
Recommended for grantees with more than three years of experience.

 


   Please check this box if you would like 
        a Passover-style Meal. The cost is $50 per person,
        payable to Legal Momentum. Upon submission of this
        form, you will receive a link to the payment form on our
        Web site to pay for this meal ticket in advance of the event.
                 


EXPERIENCE

Workshops are divided according to the years of experience our trainees have. Please indicate your total years of experience working with immigrant women.

Total Years of
Experience

TYPE OF FUNDING AND GRANT

Please indicate whether you are an OVW grantee or sub-grantee, and specify the type of OVW grant that will be funding your participation in this training.

Grantee/Subgrantee
Grantee
Sub-grantee

Type of Grant
Legal Assistance for Victims
STOP
ARREST
RURAL
Safe Haven continuation

ORGANIZATION TYPE

Victim Services
If your organization provides victim services, please specify the kind of organization you work for from the options below.
Coordinating council/Task force
Culturally specific community programs (includes community based organizations and immigrant rights groups)
Disability/Deaf Organization
Domestic violence program
Elder organization staff (non-governmental)
Faith-based Organization
Family Justice Centers
Healthcare Provider
Mental Health Care Provider
Multidisciplinary Group
Sexual Assault Program (Staff and Boards)
Social Service Organization Staff
Stalking program (Board and Staff)
State, Tribal or Territory Coalitions
Substance Abuse
Supervised Visitation/Exchange Center Assistance Providers
Transitional Housing Program
Tribal Sexual Assault or Domestic Violence
Victim-witness Specialist

Lawyers
If you are a lawyer, please specify your area of expertise from the choices below.
Legal Services Agency
Family Lawyer
Immigration Lawyer
Perpetrator Attorney-Criminal
Perpetrator Attorney-Civil
Law Firm

Language Services
 
If you are an interpreter, please click on the box below.
Interpreter (Offers Interpretation Services)

University
If you work for a university, please check the box that best describes your work.
Campus Judicial/Disciplinary Board Members
Campus Police
Law Professor
Law Student
Student (non-law)
Professor (non-law)

National Organizations
National Technical Assistance Provider
Research/Policy Institute
Women's Organization
Media (News)

Government
If applicable, please select the government agency you are employed with from the choices below.
Adult Protective Services
Child Protection Services
Corrections (probation, parole, and correctional facility)
Forensic Examiner Program
Law Enforcement
Prosecutor's Office
Public Defender
Tribal Government
Department of Homeland Security
Health and Human Services
Department of Justice
Department of Defense
Department of Education
Housing and Urban Development
Department of Labor
Department of Agriculture
Equal Employment Opportunity Commission

CONTEXT OF WORK
Please indicate which of the following categories best describes your work. Pick the three most relevant choices only.
Topics
Domestic Violence
Sexual Assault
Stalking
Trafficking
Crime Victim
Immigrant
Refugee
Asylee
Migrant Worker

Languages
Please indicate whether your organization has staff or volunteers who speak the following languages, or whether you are, or if your organization uses an interpreter in any of the languages listed below:
Albanian Staff or Volunteer Interpreter
American Sign Language Staff or Volunteer Interpreter
Arabic Staff or Volunteer Interpreter
Bengali Staff or Volunteer Interpreter
Bosnian Staff or Volunteer Interpreter
Burmese Staff or Volunteer Interpreter
Cantonese Staff or Volunteer Interpreter
Chinese Staff or Volunteer Interpreter
Creole-Haitian Staff or Volunteer Interpreter
Creole-Cape Verdan Staff or Volunteer Interpreter
Croatian Staff or Volunteer Interpreter
Farsi Staff or Volunteer Interpreter
Filipino Staff or Volunteer Interpreter
French Staff or Volunteer Interpreter
Garifuna Staff or Volunteer Interpreter
German Staff or Volunteer Interpreter
Greek Staff or Volunteer Interpreter
Gujrati Staff or Volunteer Interpreter
Hebrew Staff or Volunteer Interpreter
Hindi Staff or Volunteer Interpreter
Hmong Staff or Volunteer Interpreter
Indonesian Staff or Volunteer Interpreter
Italian Staff or Volunteer Interpreter
Japanese Staff or Volunteer Interpreter
Khmer (Cambodian) Staff or Volunteer Interpreter
Korean Staff or Volunteer Interpreter
Kurdish Staff or Volunteer Interpreter
Laotian Staff or Volunteer Interpreter
Lingala Staff or Volunteer Interpreter
Mandarin Staff or Volunteer Interpreter
Maya Staff or Volunteer Interpreter
Mixteco Staff or Volunteer Interpreter
Nepali Staff or Volunteer Interpreter
Patois Staff or Volunteer Interpreter
Polish Staff or Volunteer Interpreter
Portuguese Staff or Volunteer Interpreter
Punjabi Staff or Volunteer Interpreter
Russian Staff or Volunteer Interpreter
Serb-Croatian Staff or Volunteer Interpreter
Somali Staff or Volunteer Interpreter
Spanish Staff or Volunteer Interpreter
Swahili Staff or Volunteer Interpreter
Swedish Staff or Volunteer Interpreter
Tagalog Staff or Volunteer Interpreter
Tamil Staff or Volunteer Interpreter
Thai Staff or Volunteer Interpreter
Toishanese Staff or Volunteer Interpreter
Turkish Staff or Volunteer Interpreter
Ukranian Staff or Volunteer Interpreter
Yiddish Staff or Volunteer Interpreter
Urdu Staff or Volunteer Interpreter
Vietnamese Staff or Volunteer Interpreter
   

OTHER LANGUAGE: INTERPRETER
please specify the language below

OTHER LANGUAGE: STAFF OR VOLUNTEER
please specify the language below

Ethnicity, Religion, and Region of Origin
Please indicate the background of the clients you or your agency have experience serving. Check as many as apply.
American Indian or Alaska Native
Asian
South Asian
Latino
Caribbean
Black or African American
African (Immigrant only)
Middle Eastern
Native American
Native Hawaiian or other Pacific Islander
Western European
Easter European/Slavic
Canadian
Australia/New Zealand
Caucasian (use only if U.S. born)
Jewish
Muslim
Other Religion:
Other ethnicity-Region-Country:

Underserved Populations
Please check all the underserved populations that you or your agency regularly serve (please check no more than three).
Disabled
Elderly
Live in Rural Areas
Are Homeless or Living in Poverty
Deaf
Mental Health Issues
Substance Abuse Issues

AREAS OF EXPERTISE

Please select from the following categories all the topics that apply to your work.
Immigration
VAWA (Self-petitioning, Cancellation)
Immigration Court Proceedings
U Visa (Crime Victim)
T Visa/Continued Presence (Trafficking victim)
VAWA Confidentiality
Asylum
International Matchmaking
Enforcement Actions and Detention
Employment Based
Assistance Provided: Other
Family
Divorce/Legal Separation
Protection Orders
Protection Order Enforcement
Full faith and credit
Violence
Child Abuse or Neglect
Elder Abuse
LGBT
Teen
Custody (Same State)
Custody (Different States)
Custody (International)
Custody (Other)
Kidnapping/Potential Kidnapping
Supervised visitation and exchange
Visitation

Economic Relief and Benefits
Child Support
Spousal Support
Property Division
Economic Relief Other
Shelter
Housing
Transitional Housing
Education
Food
Welfare (TANF, Cash)

Employment
Sexual assault/Sexual Harassment
Discrimination