Required by the Office of the Governor, Criminal Justice Division, for entities receiving OOG funds.

Please provide your contact information.

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* 1. Please provide your contact information.

Which area of victim services or the community do you represent?

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* 2. Which area of victim services or the community do you represent?

What challenges does your community face in providing services to crime victims?

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* 3. What challenges does your community face in providing services to crime victims?

How are these challenges being addressed by your agency/organization?

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* 4. How are these challenges being addressed by your agency/organization?

Are you or your agency involved in any collaborative efforts in your community? If so, please tell us.

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* 5. Are you or your agency involved in any collaborative efforts in your community? If so, please tell us.

The current Community Plan lists the following Victim's Issues. Please rank them in order of how you see their priority:

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* 6. The current Community Plan lists the following Victim's Issues. Please rank them in order of how you see their priority:

Please list other victim issues that you believe should be in the top 5 priorities:

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* 7. Please list other victim issues that you believe should be in the top 5 priorities:

Please explain how your agency or organization involves the community in your provision of services to victims.

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* 8. Please explain how your agency or organization involves the community in your provision of services to victims.

Please tell us anything else regarding victim issues that is not addressed above.

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* 9. Please tell us anything else regarding victim issues that is not addressed above.

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