Riley Center Winter 2021 DV Training Registration Form

Winter 2021 Domestic Violence Training Session

This application provides us with important information about your interests, skills, and readiness for anti-violence training and volunteer work. Please fill it out thoughtfully and completely. Any incomplete applications will be deleted after one week. The Riley Center reserves the right to decline any applicant based on appropriateness of match to the needs of the agency. Applications and payments are due by February 22, 2021. Spaces are very limited and priority is given to incoming volunteers for the Riley Center, Staff from Domestic Violence Agencies and Service Providers around the San Francisco Bay Area. Bi-lingual/Bi-cultural Spanish speakers are strong encouraged to apply!
40-Hour Training Format

The required curriculum will be presented EXCLUSIVELY ONLINE! This requires online training with staff from organizations that are well-established in the field of Domestic Violence and related areas. Videos and readings will complement our presentations and discussions. In order to participate in this training you are required to: 1) have access to a computer with a webcam and microphone, 2) have access to the internet, 3) have Zoom.us downloaded on the computer, and 4) be registered to participate in this training by February 22, 2021 at 5pm.
Mandatory Orientation February 25, 2021 5:00pm - 6:00pm

Session 1 = March 1, 2021 10:00am - 4:00pm

Session 2 = March 8, 2021 10:00am - 4:00pm

Session 3 = March 15, 2021 10:00am - 4:00pm

Session 4 = March 22, 2021 10:00am - 4:00pm
Full Name *

Prefix First Name Last Name
Preferred Pronouns *

She/Her/Hers He/Him/His Them/They
Institution or Affliated Organization Name *
Your E-mail *
Primary Phone Number *

Area Code Phone Number
Mobile Number

Area Code Phone Number
Your Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country
Sharing the following information about yourself helps us better understand the communities we reach.
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? *

Yes No
If yes, please list your Title and Name of Church.
Briefly describe why you are interested in attending this training? *

Required for my Employment at another agency (other than Riley Center) Required for me to Volunteer at another Agency (other than Riley Center) Volunteering at The Riley Center (You are required to pass an interview process to volunteer with the Riley Center you are required to complete the volunteer screening process by February 22, 2021)
Please select one of the following options to sign up for this 40-Hour Training: *

Riley Center Staff or Volunteer (with a commitment of 4 hours per week for 1 year) If you are volunteering at the Riley Center we require a one-year commitment of volunteers who take our training, a minimum of 120 hours upon completion of the training, and one shift per week for at least 4 hours. If you need to have the fee waived due to hardship, please talk to our Volunteer Outreach Coordinator directly. The fee for training is only $75.00 (to be paid in advance). Domestic Violence Training Fee for government or non-profit agencies in the SFDVC $200.00 (to be paid in advance) Domestic Violence Training Fee for Clergy and Lay Church Workers $200.00 (to be paid in advance) Domestic Violence Training Fee for government or non-profit agencies outside of San Francisco $250.00 (to be paid in advance)
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Winter 2021 Domestic Violence Training Session

40-Hour Training Format