DC Membership Application 9.1.24

Membership Application

The mission of the Divorce Coalition is to enhance the divorce process for domestic abuse survivors through the education and awareness of divorce, court and legislative professionals resulting in a more supportive and less traumatic divorce experience.
Personal Information:

Please fill out the below information.
Full Name*

First NameMiddle Initial Last Name
Profession*
Professional Title*
Company Name*
Cell Phone Number*
E-mail*
example@example.com
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Time Zone
What is your birthday?*

Professional Background

Please answer the questions to the best of your ability.
How long have you been certified or licensed in your current profession?*
Name of a current divorce coalition professional who referred you:*
Reason you want to be part of the divorce coalition (why is it important to you)?*
What do you hope to get out of membership in the divorce coalition?*
Do you have any specialized training in working with people divorcing and/or domestic abuse? If yes, explain:*
Please list organizations to which you belong/support as well as any leadership roles:*
Have you ever been the subject of a professional or governmental investigation or had any disciplinary or criminal action taken against you? If yes, please explain:*
Have you ever been involved in a domestic incident where there was an allegation of domestic violence or a restraining order issue? If the answer is yes, are you willing to have a conversation with Coalition about the details of the incident? *

References:
Name, number, and email of professional/personal reference:*
Committee Preferences:*

Individual Survivors SurveyDivorce Professionals SurveyDivorce Professionals Certification in Domestic AbuseLegislative Education ProgramMarketingMembership & HRFundraising - Grants, Sponsorships and DonationsFinanceSummit

Questions and Contact Information:

Questions can be sent to the head of the membership committee - Denise Kavaliauskas
- Phone: 843-315-8659
- Email:beverly@divorcecoalition.com
Benefits of Being a Divorce Coalition Member:
- Links on the website
- Resources for clients
- Potential CLE
- Networking/potential conference opportunities
- Satisfaction of making a difference in such a critical area
We will provide you with:
1. Information to post on your website
2. Posts that continue to recognize your support of DC
Expectations of Being a Divorce Coalition Member:
1. Will post the divorce coalition's requests at least once a month on three social media platforms or 3x a month on one platform.
2. It is a two-year commitment with one year role in the interest committee and rotating to the functional committee.
3. The Divorce Coalition roles are working roles with a time investment. They are "roll up your sleeves" roles with a contribution of time and talent. We strive to manage the time effectively so as not to take away from your main work role.
The deliverables of the Divorce Education will included educational material and other items. The deliverables developed while working with the Divorce Coalition are copywritten by the coalition and are a work product solely owned and utilized by the Divorce Coalition. Do you agree to hold to this standard?*

YESNO
How many hours per week are you prepared to give to the Divorce Coalition efforts?*