NYSCASA's Student Activist Network Against Sexual Assault

Thank you for your interest in joining NYSCASA's Student Activist Network Against Sexual Assault. Please respond to the following questions to be considered for participation. To learn more about the Student Activist Network Against Sexual Assault, visit http://www.nyscasa.org/student-activist-network

If you have any questions please do not hesitate to contact E Bjorkman, Director of Campus Projects, at ebjorkman@nyscasa.org. Thank you!

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* 1. Provide your college information.

Name

Address

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* 2. Provide the name of your student-led group.

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* 3. Provide contact information for members of your student-led group planning to participate in the SANASA.

Student 1 Name

Student 1 Email

Student 1 Class Year

Student 2 Name

Student 2 Email

Student 2 Class Year

Student 3 Name

Student 3 Email

Student 3 Class Year

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* 4. Provide your advisor's contact information.

Name

Title/ Department

NYSCASA's Student Activist Network Against Sexual Assault

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* 1. Provide your college information.

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* 2. Provide the name of your student-led group.

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* 3. Provide contact information for members of your student-led group planning to participate in the SANASA.

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* 4. Provide your advisor's contact information.

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* 5. Describe your student-led group, including your purpose and goals.

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* 6. Provide a summary of your sexual violence advocacy efforts on campus.

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* 7. Explain your main focus or reason for wanting to participate in this project.

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* 8. How do you do outreach for addressing campus sexual violence?

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* 9. How much experience do you have as a student activist group? Please describe your knowledge, skills, and experience.

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* 10. How does your student- led group connect with your campus community?

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* 11. Describe the changes you hope to see on your college campus by being involved in this project.

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* 12. Describe your supports you have in executing this project (e.g., fellow students, advisor, administration, campus community).