Domestic Violence Solutions 40 Hour Training Scholarship Request Form


Home	Working to end the intergenerational cycle of domestic violence....

Please print and mail to PO Box 1536, Santa Barbara, CA 93102 or fax to 805-963-1169

Name: _____________________________________________________________
Address: ___________________________________________________________
__________________________________________________________________
Email: _____________________________________________________________
Phone (day) _______________________________________
(evening) _________________________________________
STAFF AND VOLUNTEERS MAY ATTEND TRAINING FREE OF CHARGE

How did you learn about our 40-hour domestic violence training course?
Are you interested in volunteering for Domestic Violence Solutions once
you’ve completed the 40-hour training?
In what area of our work are you most interested in volunteering?
How much can you afford to pay for the 40-hour training? (We request that each person try to pay at least the amount that covers the cost of the manual--$40.00)
For what reason are you requesting a scholarship? Do you work in the field of human service? What organization?