Community Action Planning Registration Form

The purpose of community action planning is twofold:

To empower student organizations and chapters to implement internal, structural changes to prevent sexual and relationship violence and create survivor-supportive environments.
To enable the SRVP team to better understand how to support different student communities in preventing violence.

Student organizations and chapters can engage with this process by committing to a series of SRVP meetings and educational presentations that will result in a mutually agreed upon action plan to prevent violence and support survivors.

This plan will assist participants in laying out concrete next steps, similar to a to-do list, and evaluative metrics that will inform how the organization or chapter will work to prevent violence in a predetermined amount of time.

Apply to be in the 2022-2023 cohort by completing and submitting the web form below.

For more information, contact consent@asu.edu.

First Name:

Last Name:

10 digit Student ID number:

Email Address:

Phone Number:

Year in School:

Year of Anticipated Graduation:

College:

Are you a Barrett Student?:

Yes

Major:

Primary Major Location:

Do you live in campus housing?:

Yes

Are you affiliated with a Greek Letter Organization?:

Yes

What chapter are you a part of?:

Are you involved with athletics?:

Yes

What are you involved with?:

How did you hear about Community Action Planning?:

Specify Academic Class:

Specify the Club or Organization:

Which ASU department?:

Specify Academic College:

Team Member:

If other team member, please specify:

Specify Presentation: (e.g., Greek Life, Sport Club, LIA 101, Barret, New 101, SVPL etc.)

Specify Campus Event:

Please Specify:

Would you like to request any of the following accommodations?: (If so, a coordinator will reach out to you prior to the event to ensure your specific needs are accommodated)

If Yes, what kind of additional disability accommodations?:

I understand

I understand that if I need any special accommodations I should notify someone 7 days in advance of my selected training date by email at consent@asu.edu.