* Required Fields

*Name of the event that you would like to attend
*Waitlist registrant?
(for in-person trainings)
Yes
No
*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
info@praxisinternational.org
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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