Get Care Speakers Bureau Friend/family Member Form

This guide provides clear instructions for completing the Care Speakers Bureau Friend/Family Member Form online. By following these steps, users can efficiently share their experiences and support efforts to raise awareness about important issues.

Follow the steps to correctly complete the form online.

1. Click ‘Get Form’ button to access the document and open it in your preferred editor.
2. Begin by entering your name in the designated fields. Include both your first and last names.
3. Provide your address, ensuring to include any apartment or suite numbers, followed by your city, state, and zip code.
4. Input your phone number and email address accurately, as this contact information is vital for communication.
5. Fill in your date of birth. Ensure this information is correct as it may relate to the services provided.
6. Select your gender by checking the appropriate box. Options include female, male, transgender, or other. If selecting 'other,' please specify.
7. Describe your relationship to the victim in the space provided.
8. Identify the type of incident by checking the relevant box, such as sexual assault/rape, relationship abuse, or stalking.
9. Indicate the age of the victim at the time of the incident.
10. If known, specify who the victim first informed about the incident, such as a hotline, friend, or family member.
11. Answer whether the victim received counseling from a victim services group and provide details if applicable.
12. Indicate if you have ever contacted the Campus Assault Resources and Education office.
13. Confirm whether the crime was reported to the police and provide additional details regarding any arrests or convictions.
14. Describe how long after the incident the trial took place or if a plea bargain was reached.
15. Check all options that apply regarding who the victim was assaulted by.
16. Briefly describe the facts of what happened in the provided space.
17. Explain your initial reaction when the victim told you about the incident and how it impacted you.
18. Discuss how the incident affected your relationship with the victim.
19. If applicable, describe any difficult decisions you had to make in response to the situation.
20. Detail how you helped or supported the victim and acknowledge any unhelpful actions, if applicable.
21. Indicate how you would like to participate in the Speakers Bureau by marking all relevant options.
22. Specify your comfort level regarding speaking settings and whether you are comfortable with media involvement.
23. Grant permission for media to quote you and specify if you wish to be identified by name or anonymously.
24. Indicate if you have previously been interviewed by the press or trained to speak to them.
25. Provide any additional information about how you dealt with the impact of the experience.
26. Acknowledge the accuracy of the information provided by checking the appropriate box and entering your name.
27. Submit the completed application to the provided contact information for the CARE office.
28. After submission, expect to be contacted by the Director of CARE to discuss your potential involvement with the Speakers Bureau.

Take the first step today and complete the Care Speakers Bureau Friend/Family Member Form online.