Training Registration

To be eligible to register for training you must:

• Be employed by an office, institution or center whose mission consists substantially of offeringassistance to survivors of domestic violence, sexual assault, stalking, or crimes of violence, and

• Provide direct advocacy services to victims as a substantial portion of your current job duties, and

• Obtain the approval of your employer, or someone authorized to act on behalf of your employer, to perform the responsibilities of a Safe at Home Application Assistant.

If have any questions or are unsure if you meet the above eligibility requirements, please call 651-201-1399 or email your question to safe.athome@state.mn.us.

___________________________________________________________________________________________________________________________________________________________________________________

Advisory Statement

It is highly advised if you are able to attend an in-person training, you do so. We realize it is not always possible to do this, but group dialogue during training provides a much more enriching experience.

In-Person Training Details

* Held at a St. Paul location. Details will be emailed prior to class.

* Class size is limited to 32.

* Class is held from 11 am - 4 pm.

Online Training Details

* This training is done online and via conference call. Instructions will be emailed prior to the training.

* Class size is limited to 32.

* Class is held from 12 pm - 3 pm for two consecutive days.

___________________________________________________________________________________________________________________________________________________________________________________

First Name: *

Last Name: *

Organization: *

Work Email: *

Work Phone Number: * Include dashes: 555-555-5555

Work Mailing Address: *

Work City: *

Work Zip code: *

___________________________________________________________________________________________________________________________________________________________________________________

Are you a current Safe at Home participant? *

Yes
No

If Yes, what is your Lot #?

Are you a former Safe at Home participant? *

Yes
No

If Yes, what was your Lot #?

Are you a former Safe at Home Application Assistant? *

Yes
No

___________________________________________________________________________________________________________________________________________________________________________________

You must enter 3 numbers followed by 3 letters *

___________________________________________________________________________________________________________________________________________________________________________________

After you click the submit button, if you do not see a “Thank you for registering….” message, your registration did NOT complete. Please review the registration form to check for errors. If you do not see any errors, please call 651-201-1399 or email safe.athome@state.mn.us

___________________________________________________________________________________________________________________________________________________________________________________

If you have a disability and anticipate needing an accommodation for the training, please call 651-201-1399 or email your accommodation request to safe.athome@state.mn.us. We recommend that you make your accommodation request at least 10 days prior to the training.

Application Assistants