Clone of Black Women Revolt Summer 2026 DV Training Registration Form

Domestic Violence (DV) 101 Training
Wednesday, October 7, 2026

1:00PM - 5:00PM

Course Description -

This training provides participants with a foundational understanding of domestic violence and intimate partner violence, including the six primary forms of abuse, barriers survivors face when seeking help, cultural considerations for working with Black survivors and other marginalized communities, and practical strategies for providing survivor centered, traunma informed, and culturally responsive care.

Who Should Attend this Training?

This training is ideal for social service providers, shelter workers, medical professionals, legal advocates, and family members who want to play an active role in helping survivors escape abuse safely.

For questions or group registration, contact: Paméla Michelle Tate, Ph.D. at iamdrpamelamichelle@gmail.com

Full Name

PrefixFirst NameLast Name

Preferred Pronouns

Institution or Affliated Organization Name

Your E-mail

Mobile Number

Area CodePhone Number

Work Telephone Number

Area CodePhone Number

Your Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

What is your Birthdate?

What is your gender?

What is your race or ethnicity?

Do you speak any languages other than English and if so, what languages do you speak?

Are you a Clergy Member or Lay Church worker?

If yes, please list your Title and Name of Church.

Briefly describe why you are interested in attending this training?

Please select one of the following options to sign up for this 44-Hour Training:

Youtube

DV 101 Training

Complete Your Registration Information