Rivier University
KNOW & TELL Training Workshops
Part 1 - April 5, 2018 (9:30 - 10:45 am)
Part 2 - April 10, 2018 (9:30 - 10:45 am)

REGISTRATION

The Granite State Children’s Alliance (GSCA), the Chapter Organization for NH Child Advocacy Centers, is excited to receive the support of Rivier University to further support our critically important initiative - KNOW & TELL through education and training.

KNOW & TELL is a public responsibility movement to educate all NH adults to KNOW the signs of abuse and TELL responsible authorities when they recognize them. At the completion of training, each participant will:

KNOW the signs of child abuse
LIMIT the barriers to reporting child abuse
RESPOND to disclosure/outcry of abuse
TELL in response to mandated reporting laws and policies
PARTNER with your local Child Advocacy Center

To register for the upcoming 2-part training workshop, provide your contact information below and complete this short survey. Total time requirement is 3-5 minutes.

NOTE: There are eight "survey" questions. These questions are only used to gauge preliminary knowledge of the audience before training. Each question requires a response. Select "DONE" to submit survey.

Question Title

* 1. Name & Contact Information:

Name *

Company *

Address *

Address 2

City/Town *

State/Province *

ZIP/Postal Code *

Email Address *

Phone Number *

Question Title

* 2. The role that BEST describes my participation in the selected training workshop(s) is as a/an: (Select ONE)

Parent/Guardian

NH State Department (e.g., Dept. of Education)

Educator (e.g., teacher, administrator, Nurse, Guidance Counselor etc._

Police / Rescue Agency

Youth Organization

College Student

Other

Question Title

* 3. Select the statement that BEST reflects your familiarity/knowledge of NH Mandated Reporting Laws:

NH Mandated Reporting Laws are new to me.

I know NH has laws around mandated reporting; however, I am unsure how the laws impacts me.

I am somewhat familiar with the NH Mandated Reporting Laws.

I'm an expert

Question Title

* 4. True or False - In order to report suspected child abuse/neglect, I must have some proof of abuse/neglect.

True

False

Question Title

* 5. Before reporting suspected child abuse/neglect, I must: (Select all that apply)

Consult with my boss/supervisor to gain permission to proceed with the report

Consult the parents/guardians of the child

Consult with the child who I suspect is being abused/neglected

None of the above

Question Title

* 6. Once a report is made, Child Advocacy Centers (CAC) coordinate the Multi-Disciplinary Team (MDT) so that all involved parties (i.e., DCYF, Law Enforcement, Crisis Center Advocate, County Attorney, and Forensic Interviewers) come together in one place to complete the forensic interview. Please select the statement below that best reflects your knowledge of the MDT approach:

The MDT approach is new to me.

I have heard about the MDT approach; however have limited knowledge.

I am familiar with the MDT approach.

Question Title

* 7. Have you ever suspected a child was being abused/neglected?

Yes

Question Title

* 8. Have you ever reported suspected child abused/neglected?

Yes

Question Title

* 9. If "YES" to Questions 7 or 8 - Have you encountered any barriers around reporting suspected child abuse/neglect? If yes, please explain.
NOTE: Select N/A if your responses to Question 7 or 8 were "NO".

N/A - I have not encountered a situation of suspected child abuse/neglect

Yes - I have encountered the following barriers: (Please explain using the Comment Box below)

No - I have not encountered any barriers when making a report of suspected child abuse/neglect

Comments:

Question Title

* 1. Name & Contact Information:

Question Title

* 2. The role that BEST describes my participation in the selected training workshop(s) is as a/an: (Select ONE)

Question Title

* 3. Select the statement that BEST reflects your familiarity/knowledge of NH Mandated Reporting Laws:

Question Title

* 4. True or False - In order to report suspected child abuse/neglect, I must have some proof of abuse/neglect.

Question Title

* 5. Before reporting suspected child abuse/neglect, I must: (Select all that apply)

Question Title

Question Title

* 7. Have you ever suspected a child was being abused/neglected?

Question Title

* 8. Have you ever reported suspected child abused/neglected?

Question Title

* 9. If "YES" to Questions 7 or 8 - Have you encountered any barriers around reporting suspected child abuse/neglect? If yes, please explain. NOTE: Select N/A if your responses to Question 7 or 8 were "NO".

* 9. If "YES" to Questions 7 or 8 - Have you encountered any barriers around reporting suspected child abuse/neglect? If yes, please explain.
NOTE: Select N/A if your responses to Question 7 or 8 were "NO".