Coalition to Stop Violence against Native Wome

Coalition to Stop Violence against Native Women presents

Advanced Training on Court Advocacy

Airport Holiday Inn
Albuquerque, NM
April 18th and 19th, 2011
Limited Scholarships Available
For more information contact Frances Abeyta @ 505-243-9199 or visit our website @ www.csvanw.org
We welcome all social service providers, first responders, domestic violence advocates, and/or survivors of domestic violence
~Funding provided through the NM Children, Youth and Families Department State Grant~
~Funding provided through a CYFD grant~
Coalition to Stop Violence Against Native Women
Helping the Hands of Justice
April 18th and 19th, 2011
Registration Form
We welcome all social service providers, first responders, domestic violence advocates, and/or survivors of domestic violence

Name:_______________________________________________________________________________
Address:______________________________________________________________________________
Email:________________________________________________________________________________ Organization:__________________________________________________________________________
Occupation:___________________________________________________________________________
Tribe:________________________________________________________________________________
Years Worked in Domestic Violence, Sexual Assault, and/or Stalking _________________________
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Registration is free and scholarships are available on a limited basis based on certain criteria. You can download the scholarship application on our website @ www.csvanw.org.
Criteria for participants receiving this training include: demonstrating knowledge, skills and a commitment to assisting victims and survivors of Domestic Violence, using culturally specific practices and to provide trainings at local community levels.
The roles and responsibilities of each participant will at a minimum:
1. Provide one (1) training annually in your region within the State of New Mexico
2. Train a minimum of twenty (20) advocates/ providers in your region
3. Submit documentation of training activities after completion of your training to the CSVANW in a timely manner.
Registration forms can be submitted via email @ csvanw@msn.com, fax: (505)243-9966, or mail to 2401 12th street NW, Ste. 201 N, Albuquerque, NM 87104 no later than 4 p.m. on April 14th, 2011
“Helping the Hands of Justice”
Advanced Court Advocacy Training
Scholarship Application
There are limited scholarships available for this training*
The Scholarship will cover the following:
1.) Lodging Airport Holiday Inn Hotel for 2 nights amenities excluded
2.) Mileage @ the NM State rate (if funds are available)
Please complete the application below and send via e-mail to: csvanw@msn.com, fax or mail to:
Coalition to Stop Violence Against Native Women: 2401 12th Street NW, Suite 201N; Albuquerque, NM 87104,
FAX: (505) 243-9966.
Scholarship application must be received by and no later than 4:00 PM on April 11th, 2011. You will be notified if selected no later than April 12th,2011 , email or Fax as to whether or not you have been granted a scholarship. If you have any questions, please call our office at (505) 243-9199.
Advanced Training April 18th & 19th, 2011
Airport Holiday Inn
Albuquerque, NM
Scholarship Application
Name:
Organization:
Occupation:
Email Address:
Address:
City:
State/Zip Code:
Phone:
Fax:
Other expenses not identified above are the responsibility of the applicant.
Signature: _____________________________________________ Date: __________________________
Funding provided by the New Mexico Children Youth and Families Department
You may be eligible for the scholarship if you meet the following criteria:
 Participants traveling from farther distances will be given priority.
 Eligible applicants for scholarships include service providers, those in the criminal justice system or other advocacy settings and interested community members, including Native American domestic violence victims.
 Recipients of the scholarship must commit to provide training services received at this session back to your own community.
 You will also become a part of CSVANW’s pool of facilitators for upcoming trainings.