GFWC Georgia DOMESTIC VIOLENCE AWARENESS AND PREVENTION Report Form

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ALL Reports will be judged from one entry. If you are competing for awards in this category, PLEASE be sure to follow all requirements for each Award.

FORMS Are DUE NO Later than JANUARY 25 by 11:59 PM.

IF THIS FORM IS COMPLETE AND SUBMITTED NO FURTHER REPORT IS NEEDED (You will receive an email copy for your records)

Email *

Domestic Violence Awareness

Mission: To increase awareness of and help prevent the widespread occurrence of domestic/sexual abuse and violence against women of all ages in our communities. We do this by working with various established organizations and programs, supporting their existing activities, and initiating educational opportunities for club members and local citizens about the complex issues surrounding domestic/sexual abuse and violence. We work to support the agencies that help both the victims and the survivors of all ages in these areas.

Program Areas of Focus:

Intimate Partner Abuse Child Abuse

Teen Dating Violence Elder Abuse

Campus Sexual Assault Military Sexual Assault

Human Trafficking Violence Against Native American Women

Your Name *

First and Last

Your Title *

Club *

District *

Mailing Address *

City *

State *

Other:

Zip Code *

Phone Number *

Type of club *

Number Of Club Members *

Number you reported for dues

Statistical Information

Total Projects and hours and monies including Affiliates

WAS A DOMESTIC VIOLENCE CHAIRMAN APPOINTED TO SERVE YOUR CLUB? *

Yes

Number Of Projects *

Volunteer Hours (All) *

Dollars Donated by Club (All) *

In Kind Donations (All) *

Do you have any Affiliate projects to report? *

Yes

No, go to Community Connection Initiative

No, continue to submit a Narrative or creative report

No, please submit my form

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This form was created inside of Georgia Federation of Womens Clubs. Report Abuse

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