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Prevention, Education, & Outreach Request
Friends Against Family Violence (FAFV) is a community-based nonprofit program dedicated to preventing domestic violence an sexual assault. We provide education, prevention, and outreach services in the Tri-County of Uintah, Duchesne, and Daggett.
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Email
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Your email
Name
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Your answer
Phone Number:
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Your answer
Request Date:
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If you don't have an exact date, choose an approximate date. Please note that we will need to remain flexible depending on availability.
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Type of Prevention, Education, or Outreach Requested:
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Tabled Event
Within My Reach Presentation
Services Presentation
Educational Presentation
Other:
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Topic(s) to Be Discussed: Check all that apply
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Domestic Violence
Sexual Violence
Resources
Healthy Relationships
Other:
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Type of Audience Attending:
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Your answer
Approximate Number of Attendees:
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Your answer
Estimated Length:
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Location:
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Roosevelt
Vernal
Duchesne
Fort Duchesne
Daggett County
Other:
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Additional Details the Would Be Helpful In Scheduling With Our Prevention, Education, & Outreach Team
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