Before you complete this application please review the "Application Instruction Sheet" found on our HOW TO APPLY webpage of our website: (

*We recommend that you copy and paste your responses on a word document in case there are any technical issues.*
Application Deadline: Submit your completed application by 5:00 PM Central time on Monday, March 19th, 2018.

Please Note: Your application will not be reviewed unless all application questions are complete and the required eligibility criterion is met. Applications will be considered based on the following criteria:
  • Your program is a community-based, tribal or campus advocacy organization providing direct services to women/survivors of violence against women, or a state, tribal, territory or national coalition/network that focuses on violence against women (If your program fails to meet this criterion, please consider partnering with your local community-based advocacy program).
  • Your program has the capacity to complete the 18-month course.
  • Your program and team members are committed to reflecting on and strengthening how you and your organization does advocacy.
  • Your proposed team includes a frontline advocate/crisis counselor and a manager/executive director.
If you have any questions please feel free to send an email to

* 1. We are applying as a:

* 2. Which class are you applying to?

NOTE: You may apply to and be considered for Class Q OR Class R. If you would like to be considered for EITHER Class Q and R, check both boxes.

* 3. Main Contact Person (this is the person we will primarily be in contact with regarding your application, subsidy determinations, team composition decisions...).

* 4. Program Information

* 5. Briefly, tell us about your advocacy program (for example: your mission, number of years your organization has been providing advocacy services, and program size and structure).

* 6. Do you consider your organization/program to be (check all that apply):

* 7. Is your primary purpose to provide advocacy in a culturally specific community or communities? 

* 8. If yes, which culturally specific communities do you work with?

* 9. If no, are you in partnership with other organizations that are culturally specific?

* 10. List 3 specific reasons your organization/program would like to participate in the ALC course: