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Fundacion de Trafico Humano

40 - Domestic Violence Advocate Training

Registration Form

Full Name
Address
City
State
Zip Code
Student
Name of Insitution
Employer
Home Phone
Cell Phone
Have you ever been convicted of domestic violence, stalking,human trafficking, or child abuse?
If Yes, Explain:
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Emergency Contact

Name
Address
Phone
City
Zip Code
Phone
Relationship

Short Response

Why are you interested in the 40-Hour Domestic Violence Advocate Training
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If chosen to participate in the FSTH 40-HDVAT you UNDERSTAND:

·     that the topic of domestic violence can produce sometimes strong and unexpected emotions, including feelings of helplessness.

·      I agree to do my part in creating a safe, non-judgmental environment in which each person present 

·     I understand that returning this application does not guarantee placement in the training. Placement is decided on a first-come, first serve basis. Volunteer placement is based on the needs of the organization.

NOTE: if you are a survivor you must wait at least six month from the last incident to attend the training.


Thank you for your interest, a FSTH staff member will contact you
with your confirmation email.

After submitting the form, continue with your payment options.

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