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DISABILITY-ABUSE.COM
Online Training Conference on Abuse and Disabilities!

Office of Victims of CrimeFunded in part by a Grant from the United States Department of Justice Office for Victims of Crime (Office of Justice Programs)

SCHOLARSHIP APPLICATION


Fill out the following form, using the tab key to move from field to field. For eligibility requirements click here to review the instructions (will open in a separate window.)

 

Scholarship Recipient Information
First Name
Last Name
Job Title
Agency/Organization
Suite# / Department
Street Address
City
State/Province
Zip/Postal Code
Country
Phone (1-555-1212)
FAX (1-555-1212)
Email
I have provided direct services to, or worked on behalf of, victims of crime/abuse in my professional capacity for at least 6 months. Yes No
I do not have sufficient funds to cover registration. True False
Agency Director/Supervisor Information
Our organization and our applicant have been working with crime victims, vicitims of abuse, and/or persons with disabilities for 6 months or more Yes No
Our organization does not have sufficient funds to cover the $150 registration fee. True False
Our organization will assure that APPLICANT will be provided the time and functional internet connection to attend all classes of this Conference, and that APPLICANT will be afforded the time and internet access to participate in post-conference contact with faculty and post-conference access to all training resources provided by the Online Professional Training Conference on Abuse and Disabilities. Yes No
Statement of Criteria: Provide a statement of how your organization meets this scholarship's criteria for award.
Affirmation: By filling out the following items, you, as the supervisor/director, are affirming that the information provided is true and accurate.
Your Name:
Your Title
Your Phone Number
Your Email
 

 

 

Share this information with your colleagues! Extraordinary interactive learning opportunities!

  • check this out!Group rates multiply any community's power to protect victims with disabilities
  • Access 22 one-hour workshops online, with world-class faculty
  • Extensive online resources are provided for each workshop
  • All workshops are archived for later viewing by registrants.
  • All registrants have access to all materials.
  • Membership in private listservs and forums included!
  • Link up with an international network of professionals dedicated to protecting children and adults with disabilities who have been victims of crime

 

 


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Dedicated to the personal rights of children and adults with disabilities, with a mission to prevent abuse of people with disabilities and protect others from abuses that lead to disability.

Link to our special project on Child Abuse and Disabilities