* Required Fields

*Name of the event that you would like to attend
*Waitlist registrant?
(for in-person trainings)
*Date of event (MM/DD/YYYY)
*Event Type
Rural Technical Assistance Event
Institutional Analysis/Community Assessment
Other Praxis Event
*Your First Name
*Your Last Name
*Your Program/Organization
*Your Title

Identify your current OVW grant(s)
(Check more than one box if applicable)
Rural Domestic Violence, Dating Violence,
Sexual Assault and Stalking Assistance Program

Rural grantee number:

Other OVW grant number(s):

I am not an OVW grantee
Grants to Encourage Arrest and OFP Enforcement
STOP Violence Against Women (Formula)
STOP Violence Against Indian Women
Violent Crimes Against Women on Campus
Stop Abuse Against Older/Disabled Individuals
End Violence Against Women with Disabilities
Tribal DV and SA Coalitions
State DV and SA Coalitions
Legal Assistance for Victims

Your Address
Your City
Your State
Your Zip/Postal Code
*Your Phone
( ) -
Your Fax Number
( ) -
*Your Email

Special Requests

Accommodation Requests

Training Track Preference

Please note: You are not registered until you receive a confirmation letter. Do not make travel arrangements until you receive confirmation.

General Inquiries and Rural Technical Assistance Program
206 W. 4th Street, Suite 207
Duluth, MN 55806
phone (218) 525-0487
fax (218) 525-0445
Advocacy Learning Center & Safety and Accountability Audit Program
179 Robie Street E., Suite 260
St. Paul, MN 55107
phone (651) 699-8000
fax (651) 699-8001

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