Stop It Now! Materials Request Form Survey

Stop It Now! Materials Request Form

The Division of Injury and Violence Prevention has the following Stop It Now! educational resources to prevent child sexual abuse. The materials are available free of charge for Virginia residents only. Please allow 2-3 weeks for delivery. For additional information on sexual violence prevention, visit www.vahealth.org/civp/sexualviolence.

1. Requester's Information

Requester's Information Attention
Organization Name
Shipping Address (No PO Box)
City
State
Zip
Phone Number

2. E-Mail Address

E-Mail Address

3. Record the quantity desired for each item in the fields below.

Record the quantity desired for each item in the fields below. Stop It Now Poster-ENGLISH
Helpline Brochure-ENGLISH

4. The main form of communication from the Sexual Violence Prevention Program is through the internet. Through the use of a dedicated email list server, VDH is able to send out 1-2 emails a week about upcoming trainings, new resources, available funding and job opportunities. In order to keep the amount of emails down, it is a heavily moderated list, with most of the postings coming from VDH. To view the archive of the old messages, go to www.yahoogroups.com/group/VDHsvlist.

The main form of communication from the Sexual Violence Prevention Program is through the internet. Through the use of a dedicated email list server, VDH is able to send out 1-2 emails a week about upcoming trainings, new resources, available funding and job opportunities. In order to keep the amount of emails down, it is a heavily moderated list, with most of the postings coming from VDH. To view the archive of the old messages, go to www.yahoogroups.com/group/VDHsvlist. Yes, please subscribe me to the list.

No thanks. Just send me the materials.

Other (please specify)