Stigma Free Website Designation
Name of Organization
*
Website Address to Review
*
Contact Person
*
Contact E-Mail
*
example@example.com
Contact Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Preferred Method of Contact
*
Email
Phone Call
Text
Please Select Timeframe of Review
*
2 Weeks
1 Month
By filling out the above information and returning it, I understand that my organization is requesting a review of our website(s) to identify any language that may be or is stigmatizing.
*
I agree
I understand that after a review by the WV Collegiate Strategic Prevention Framework Partnership for Success Student Leaders, findings and recommendations will then be turned into the Partnership's Project Director for a final review. Once a final review is completed, findings and recommendations will be sent back to the contact person listed above.
*
I agree
I understand that two weeks or one month (whichever you chose above) after the final findings and recommendations have been sent to the organization, the website will be reviewed again. If the organization decides to make corrections to their website based on the findings and recommendations, the WV C-SPF-PFS will designate their website a Stigma Free Website and provide a digital badge to be displayed on the website.
*
I agree
By completing and submitting this form, I acknowledge that I am able to represent my organization in this capacity and I understand the process of the Stigma Free Website Designation Project through the WV C-SPF-PFS. Also, by completing and submitting this form, I give consent, on behalf of my organization to have our website(s) reviewed for the C-SPF-PFS Stigma Free Website Designation Project.
*
I agree
Signature
*
Submit
Should be Empty: