General Membership Report NJCA for 2025

The mission of the New Jersey Children’s Alliance (NJCA) is to promote hope, healing, and justice for victims of child abuse throughout New Jersey by supporting Child Advocacy Centers with training, resources, advocacy, and leadership.

Eligibility: NJCA membership consists of all developing or established CACs
Name of CAC/Program/County
Identified NJCA Member Representative (name/title; must be authorized to represent above program at NJCA meetings)
Address
Phone
Format: (000) 000-0000.
E-mail
example@example.com
Website
Governing Structure(check all that apply):
Current Status with NCA:
Date of Next Renewal

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Do you provide these services - either on-site or through affiliation? (check all that apply):
Forensic Interview
Medical Evaluation
Mental Health Evaluation
Mental Health Treatment
Victim Advocate
Family Advocate
Community Education
Members of your MDT Case Review Team (check all that apply)

Other
STATISTICS REPORT:

Statistics for January 2025 through December 2025
Total number of new cases reviewed by the MDT (not re-listed or re-reviewed)
Number of child-on-child cases (Problematic Sexual Behavior):
Number of children referred to services (total # of each):
Medical Exam/Treatment
Number of children receiving services (total # of each):
Onsite Counseling/Therapy
Offsite Counseling/Therapy
Number of employees/staff assigned to program full-time (at least 30 hours per week)
I acknowledge that, as Representative to the New Jersey Children’s Alliance, I am responsible to attend the NJCA annual membership meeting and cast votes on behalf of my MDT/CAC.
Signature
Name
Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Thank you for your report! If you have any questions or problem please send an email to Pete@njcainc.org.
Should be Empty:

STATISTICS REPORT: