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LAWS Domestic Violence and Sexual Assault Services

Coaching Boys into Men Interest Survey

Athletic coaches play an extremely influential and unique role in the lives of young men. Because of these relationships, coaches are poised to positively influence how young men think and behave, both on and off the field. Coaching Boys Into Men (CBIM) is the only evidence-based prevention program that trains and motivates high school coaches to teach their young male athletes healthy relationship skills and that violence never equals strength.

Please complete this survey if you are interested in learning more about CBIM and/or are interested in the possibility of becoming certified in CBIM in order to implement this program with boys + young men.
1.What is your full name?(Required.)
2.What is your email?(Required.)
3.What is your phone number?
4.For which school, organization, or program are you a coach (or supervisor)?(Required.)
5.What sport do you coach (or what activity do you supervise)?(Required.)
6.During which season(s) is the sport (or group)? For example, soccer may be a fall and/or spring sport. (You may select more than one)(Required.)
7.What age group are your athletes (or participants)?(Required.)
8.Are you interested in being involved in implementing a violence prevention program that promotes healthy relationships and healthy masculinity with boys and young men?(Required.)
9.If you are interested, please briefly share with us why you are interested in being involved in this kind of program.
10.The discussions you will lead with your team (or group) as a part of this program can be implemented at any time throughout the season. For example, football is a fall sport, but some coaches may want to implement during summer conditioning.

When do you envision you would host your discussions? (You may select more than one)
11.We are able to offer payment to coaches who implement the program. If you are already paid to coach (or supervise), would program implementation happen during your coaching hours or outside of your coaching hours?(Required.)
12.Are you willing to attend a 90 minute CBIM certification training hosted by LAWS?(Required.)
13.Is there anyone you know that may be interested in learning more about this program? If so, please provide their name & contact information.