2014 Membership Renewal for Individuals

Our Vision

By 2020, the Colorado Coalition Against Domestic Violence (CCADV) will be the trusted and valued state leader in expanding the capacity of Colorado's domestic violence programs, allied professionals, policymakers, and the public to significantly reduce domestic violence in Colorado.

Through training, technical assistance, resources and support, CCADV helps build the capacity of domestic violence program members and allied professionals to meet the needs of the survivors and communities they serve. We increase safety and support for survivors by engaging in policy and systems change. We participate in and build coalitions to create change through our collective voice, and serve as Colorado’s resource center for reliable information on issues related to domestic violence.

Thank you for renewing your membership!

Annual membership dues for Individual Members are $100. You may pay by check or credit card; payment information is detailed at the end of the renewal form.

*Please note: If you need a copy of this form for your records, please print each page (using the print function in your web browser) before clicking next.
Name:
Contact Information:
Email Address: (This will be included in our CCADV MEMBERS listserv)
I agree that entering my legal name below will constitute my electronic signature.
Please indicate if you are interested in getting more involved with CCADV (CCADV staff will contact you to explore options).
Please list any areas of expertise you would be willing to share with CCADV.
Are you aware of the types of training and technical assistance that CCADV can provide to you?
Powered by SurveyMonkey
Check out our sample surveys and create your own now!