CIR, Inc.
UP Project Technical Assistance Request
Would you like to request technical assistance from the Underserved Populations Project? Please fill out this form and we will promptly respond to your request.
Name
*
First
Last
Organization
*
Email
*
Phone Number
###
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###
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Please indicate which population you are interested in
Victims with disabilities
Male victims
LGBTQ victims
Foster youth victims
Indicate which area of focus you are interested in:
i.e. physical abuse, sexual abuse, adolescents, therapeutic techniques, etc.
Technical Assistance Options
Training: Request to host an in-person training, webinar or ask the expert session
Resources: Request Frequently Ask Questions (FAQ) sheets, scholarly articles, contacts/referrals
Materials: Request handouts, brochures, etc.
Networking Facilitation: Request assistance in building collaboration with your local organizations
Select a Choice
Training
Resources
Materials
Networking Facilitation
Request Summary: Please describe, as specifically as possible, the technical assistance that is requested.
*
Other comments:
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