Coalition for Sustainable Victim Services Funding (CSVSF) Sign-On Form

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Thank you for your interest in joining the Coalition for Sustainable Victim Services Funding (CSVSF)! This funding is imperative to the survival of the community programs that work with survivors of sexual assault, domestic violence, and crime everyday.

Please answer the following questions to indicate your organization's anticipated level of engagement. If you have any questions, please contact Katie Wolf at katie@howeswolf.com or Landon Gates at landon@capitolfocusllc.com.

Email *

Your name *

Pronouns

Would you like to join the CSVSF on behalf of your organization? *

Yes

N/A (I'm representing myself)

Other:

Your organization's name (if applicable)

County of residence

County(ies) of service area

Populations your organization serves (check all that apply) *

Survivors of sexual violence

Survivors of domestic violence

Child abuse victims

Crime victims

N/A (I'm representing myself)

Other:

Required

Please indicate your anticipated level of engagement (select all that apply) *

Attend regular coalition meetings

Call and meet with your legislators

Fact sheet sign-on

Letter sign-on (state level)

Letter sign-on (federal level)

Write and place an op-ed

Attend CCASA and Violence Free Colorado's joint Day at the Capitol on March 7th (VOCA focus)

Connect us with funders and other organizations who support this work

Other:

Required

Do you have signing authority for your organization? *

Yes

N/A (I'm representing myself)

Other:

A copy of your responses will be emailed to the address you provided.

Submit

Clear form

Never submit passwords through Google Forms.

reCAPTCHA

Privacy Terms

This form was created inside of ccasa.org. Report Abuse

Forms