Future Training and Technical Assistance Needs

O MB#: 1121-XXXX Future Training and

Date of Expiration: XXXX Technical Assistance Needs

Thank you for attending the training/technical assistance session supported by OVC TTAC. In order to help OVC TTAC better serve the field, we are reaching out to obtain your feedback.

EVENT: pre-printed information SESSION: pre-printed information

LOCATION: pre-printed information DATE(S): pre-printed information

PRESENTER(S): pre-printed information

1. OVC TTAC offers the following types of training and technical assistance (TTA). Please check any areas you would be interested in receiving additional assistance. (Mark all that apply.)

2. □ Building Resiliency □ Identity Theft □ Program Evaluation

□ Children Living with Grief and Trauma □ Leadership □ Provider Effectiveness

□ Compassion Fatigue/Vicarious Trauma □ LGBTQ Victims □ Sexual Assault Advocate/

□ Conference Support □ Military-Civilian Counselor Training

□ Crime Victims with Disabilities Community Partnerships □ Sexual Assault Case DNA

□ Cultural Competence □ National Victim □ Strategic Planning for Leaders

□ Curriculum Design Assistance Academy □ Survivors of Homicide

□ Customized TTA □ Needs Assessment □ Training or Materials for

□ Elder Abuse □ Organizational Scholarships Instructors/Trainers

□ Enforcing Victims’ Rights □ Professional Development □ Victim Assistance Training

□ Grant Writing/Funding Scholarships □ Victims with Disabilities

□ <TBD> □ <TBD> □ <TBD>

□ <TBD> □ <TBD> □ <TBD>

□ Other (please specify): ___________________________________________________________________

3. Would you like someone to follow up with you regarding this need or any other type of assistance? □ Yes □ No

4. Would you like to join the OVC TTAC listserv? □ Yes □ No

5. If you would like to be contacted regarding an additional TTA need OR would like to join the OVC TTAC listserv, please provide your contact information here. (You may also join the listserv yourself at www.ovcttac.gov/MailingList.)

Full name (please print): ___________________________________________________________________

E-mail address (necessary for listsev): __________________________________________________________

Phone number (if prefer to be contacted by phone): _________________________________________________

6. What additional training events or topical areas would you like to see offered by OVC TTAC?

____________________________________________________________________________________

____________________________________________________________________________________

____________________________________________________________________________________

Thank you for taking the time to complete this form and helping to improve OVC TTAC activities.

Paperwork Reduction Act Notice

Under the Paperwork Reduction Act, a person is not required to respond to a collection of information unless it displays a valid OMB control number. The estimated average time to complete this form is 5 minutes. If you have comments regarding the accuracy of this estimate or additional suggestions, please write to the OVC TTAC evaluation team at [email protected] or 9300 Lee Highway, Fairfax, VA 22031.