Application for Victim Advocate Community of Practice Survey

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* 1. Contact Information

Name

Job Title

Organization

Street Address

City/Town

State/Province

ZIP/Postal Code

Email Address

Phone Number

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* 2. Organization Website

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* 3. Victim Advocacy Type: Pick one of the following that most closely reflects your work.

Adult or child protection based victim advocate

Culturally or linguistically specific program based victim advocate

Domestic violence program: victim advocate

Dual domestic violence/sexual assault program: victim advocate

Faith based program victim advocate

Health care based victim advocate

Immigrant community based victim advocate

Law enforcement agency based victim advocate/victim witness

Legal Aid Based Victim Advocate

Prosecution based victim advocate/victim witness

Sexual Assault program: victim advocate

State coalition victim advocate

Other (please specify)

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* 4. Organization type

Adult Protective Services

Batterer Intervention Program

Child Protection Worker

Corrections

Culturally Specific Community Programs

Disability/Deaf Organization Staff (and Boards)

Domestic Violence Program

Dual Sexual Assault and Domestic Violence Program Staff (and Boards)

Elder Abuse/Aging Program

Faith-Based Organization Staff

Family Justice Centers

Forensic Examiner Program

Gov: Law Enforcement

Gov: Prosecutor's Office

Gov: Court/Judge

Health Care Provider

International Organization

Legal Services/Family Attorneys/Law Students

Media

Mental Health Care

Other National TA Provider

Public Defender/Criminal Defense

STOP

Sexual Assault Program Staff

State, Tribal and/or Territory Coalition (Staff and Boards)

Transitional Housing Program

University/Policy Institute/Educator

Other (please specify)

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* 5. Type of Grant

ARREST

Culturally & Linguistically Specific

FVPSA

Legal Assistance for Victims

OVC

RURAL

State Coalition

STOP

Technical Assistance

VOCA

Other (please specify)

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* 6. For a once a month meeting by webinar or conference call, what is the best day of the week to meet?

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* 7. Please indicate your total years of experience working with survivors of domestic violence, sexual assault, stalking, dating violence and/or human trafficking?

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* 8. Please indicate your total years of experience working with immigrant or refugee survivors domestic violence, sexual assault, stalking, dating violence and/or human trafficking?

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* 9. What are the estimated number of immigrant victims/survivors you have supported with safety planning?

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* 10. What are the estimated number of immigrant victims/survivors you have supported in getting a protection order?

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* 11. What are the estimated number of immigrant victims/survivors you have supported in securing shelter, transitional housing, housing issues?

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* 12. What are the estimated number of immigrant victims/survivors you have supported in securing access to health care, public benefits, food assistance?

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* 13. What are the estimated number of immigrant victims/survivors you have supported in family law cases (e.g. custody, child support, divorce)?

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* 14. What are the estimated number of immigrant victims/survivors you have supported in criminal court cases?

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* 15. What are the estimated number of immigrant victims/survivors you have helped gain language access to services and/or help from the justice system?

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* 16. What are the estimated number of immigrant victims/survivors you have helped with immigration issues?

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* 17. Have you supported immigrant victims/survivors who have applied for a VAWA self-petition immigration application?

Yes

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* 18. If so, approximately how many? Tell us how you supported them.

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* 19. What is your comfort level with assisting with screening for VAWA Self-Petitions eligibility for immigrant survivors (1-5)? (1 = not comfortable; 5 = comfortable)

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* 20. Have you supported immigrant crime victim/survivors who have applied for a U visa immigration applications?

Yes

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* 21. If so, approximately how many? Tell us how you supported them.

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* 22. What is your comfort level with assisting with screening for U visa eligibility for immigrant survivors (1-5)? (1 = not comfortable; 5 = comfortable)

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* 23. Have you supported immigrant crime victim/survivors in obtaining U visa certifications?

Yes

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* 24. What is your comfort level with asisting with screening for SIJS eligibiliy for immigant survivors or their children (1-5)? (1 = not comfortable; 5 = comfortable)

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* 25. What is your comfort level with asisting with screening for T visa eligibiliy for immigant survivors (1-5)? (1 = not comfortable; 5 = comfortable)

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* 26. Approximately how many victims/survivors have you worked with that have limited English proficiency?

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* 27. Approximately how many times have you worked with interpreters or translators?

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* 28. Discuss any training you have received on VAWA immigration based remedies?

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* 29. What issues and/or areas relating to immigrant victims of crime are you most interested in learning about? Check all that apply.

Battered Spouse Waivers

Best practices for serving immigrant victims

Building collaborations with law enforcement

Child Support

Criminal Court Issues

Culturally Sensitive Services

Custody

Divorce

Economic Relief

Family Court Issues

Food Assistance

Healthcare

Housing

Immigration Relief

Language Access

Learning from judges

Protection Orders

Public Benefits

Safety Planning

Special Immigrant Juvenile Status (SIJS)

T Visa

Trauma-Informed Assistance

U Visa

VAWA Confidentiality

VAWA Self-Petition

Other (please specify)

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* 30. What skills are you interested in strengthening?

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* 31. What do you find most challenging about working with immigrant victims/survivors of domestic abuse, sexual assault, stalking dating violence and/or human trafficking?

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* 32. In what area of safety planning are you encountering the most challenges for immigrant survivors/victims?

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* 33. What area of safety planning do you feel you have the most experience in supporting survivors/victims?

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* 34. What areas of your work do you find most rewarding?

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* 35. Do you enjoy working in team-oriented settings with others?

Yes

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* 36. Are you willing and able to voice feedback in a respectful constructive manner?

Yes

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* 37. If you are an experienced victim advocate, how would you mentor or support newer victim advocates?

Yes

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* 38. If you are a new victim advocate, what kind of mentorship opportunities are you looking for?

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* 39. Do you speak any languages other than English? If so, which ones?

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* 40. Describe your experience working with underrepresented persons in your community.

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* 41. Have you ever provided instruction or training for others working with survivors of abuse?

Yes

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* 42. Can you tell us a little about the trainings you have done?

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* 43. Are you involved in any Collaborations that assist you in you work with victims/survivors?

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* 44. List the 5 most common countries of origin that the victims/survivors you work with come from?

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* 45. What are the 5 most common languages do most of survivors/ victims you work with speak?

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* 46. We value access and safety, and we strive to make our meetings accessible and welcoming to all participants. Are there accommodations we could provide you that would improve accessibility for you to our virtual meetings, materials, or anything else?