1. Teen Dating Violence Awareness and Prevention Month 2012

Teen Dating Violence Awareness and Prevention Month (TDVAPM) brings focus to the issue of teen dating violence (TDV) at the local, state and national levels during the month of February. During TDVAPM 2012, advocates, youth, and community partners will raise awareness about TDV and promote respectful, nonviolent relationships. The Partnership will assemble a TDVAPM 2012 calendar to highlight local and state TDV prevention efforts.

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* 1. Name and email address of person completing this survey.

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* 2. Event #1: Please share information about your TDVAPM event (please enter information about 1 event at a time):

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* 3. Event #1 purpose and description:

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* 4. Event #2: Please share information about your TDVAPM event (please enter information about 1 event at a time):

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* 5. Event #2 purpose and description:

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* 6. Event #3: Please share information about your TDVAPM event (please enter information about 1 event at a time):

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* 7. Event #3 purpose and description:

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* 8. Event #4: Please share information about your TDVAPM event (please enter information about 1 event at a time):

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* 9. Event #4 purpose and description:

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* 10. Do you have any TDV resources, reports, media (posters, PSAs, etc.) or other materials you would like to share with other organizations in the field to support their TDVAPM activities?

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* 11. TDVAPM is a great opportunity to engage and educate local policy makers. Local policy makers can be better champions for TDV prevention if they are more informed about the issues and more connected to local efforts. One simple way to engage local policy makers is to ask City Councils, Boards of Supervisors and School Boards in your service area to pass TDVAPM proclamations. The Partnership's Public Policy Research Committtee's TDV Sub-Committee is urging local communities to pass local proclamations in 2012. Does your organization plan to help pass local proclamations this year? (Information about how to pass a local proclamation can be found at www.cpedv.org/tdvapm. Check all that apply.

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* 12. TDVAPM is also a great opportunity to engage and educate state legislators. The best way for state legislators to be informed about the issues is through their local constituents! There are many ways you can engage your state legislators during TDVAPM. For example, you can: 1) request to meet with your legislators at their district office and share information about TDVAPM and your efforts to prevent TDV in your community; 2) ask them to share information about TDVAPM and your agency's efforts through their newsletters and/or website; 3) invite them and their staff to attend events and activities, and also to speak at them. Please describe how you plan to engage your state legislators during TDVAPM. If you do not plan to engage your state legislators, please tell us why.

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* 13. Local media coverage is important for all of your great TDVAPM work! In order for TDV prevention to be considered a significant public issue, it’s got to be in the media. The media can help to elevate the position of the issue in the public’s eye, and help advance our message and goals. Do you plan to invite media to your TDVAPM events and activities?

If you would like to speak to someone about your TDVAPM plans, please contact Lisa Fujie Parks, Prevention Program Manager at lisa@cpedv.org or 510-967-0369. Lisa can offer support, connect you to resources, and connect you to other staff at the Partnership who can lend their expertise and support.

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