Thank you for your interest in the Vermont Victim Assistance Academy! We are excited to announce that this training will be fully in-person in Waterbury, VT.

As the field of victim services has evolved, we have too. We are confident that our team of exceptional Subject Matter Experts and Development & Planning Group have created a course that is both engaging and entertaining and will leave your victim services toolbox full! We have crafted a course that uses a combination of diverse presentations, activities and discussions that use real-life scenarios for maximum retention and engagement.

For more specific information, we suggest taking a moment to read and understand the Program and Application Information on our website before completing the application.

If you are unable to complete this application please reach out to us directly.


NOTE: In addition to this application, you must complete the Participant Agreement and the the Support for Learning letter.

Please print, sign, and scan each document back to me Amber.King@ccvs.vermont.gov. Your application will not be complete without this submission.



Support Contact: Amber King, Training Director (She/Her)
amber.king@ccvs.vermont.gov
p: 802-241-1250 x 114

Question Title

* 1. First Name

Question Title

* 2. Last Name

Question Title

* 3. What are your pronouns? For more information on pronouns and why they are important, click here.

Question Title

* 4. Phone Number

Question Title

* 5. Mailing Street Address

Question Title

* 6. Mailing City

Question Title

* 7. Mailing State

Question Title

* 8. Mailing Zip Code

Question Title

* 9. Email Address

Question Title

* 10. Name of Agency (and Department) or Organization. If unaffiliated, please enter "Community Member".

Question Title

* 11. Position Title. If unaffiliated, please enter "Community Member"

Question Title

* 12. Please indicate your interests in this training in regards to working with victims of crime. Please check all that apply:

Question Title

* 13. Your agency or organization primarily serves clients in which types of communities? Please check all that apply.

Question Title

* 14. How long have you been working or studying in your field?

Question Title

* 15. In what context might you come in contact with and/or serve victims or survivors of crime or offenders/responsible parties?

Question Title

* 16. The following question will help us understand your goals and intentions for completing the VVAA. Please include any information you believe is important for the participant selection committee to consider.

Please use 100 words or less to summarize how your participation in the VVAA will be a benefit to you, your organization and/or your community.

Question Title

* 17. Please select any additional accommodations you require from the list below. If you require something that is not listed, please indicate your request by selecting "Other" and providing us with specific information in the comment box.  We may contact you for further information, if necessary.

Question Title

* 18. NOTE: We plan to record each individual presentation throughout each day. 

The recordings will not be available to the public, they will be for current participants or potential late incoming participants.  The recordings will be available in case a work|life emergency calls you away from the presentation as well, so you are still able to view it. 

If being present during this private recording is problematic for you, please let us know right away!

Question Title

* 19. Applicant Signature:  This survey must be complete in order for your application to be considered.

By typing your name in the space below, you verify that all information given is accurate to the best of your knowledge, and that any false information will be sufficient cause for dis-allowance of your application.

Question Title

* 20. The VVAA has a registration fee of $200, which covers all four sessions (eight days) of the Academy. This fee is non-waivable and nonrefundable. The attached invoice and payment forms provide more information on this fee.

Question Title

* 21. Applications are not considered complete until all required materials are submitted. The Participant Agreement and signed Support for Learning letter can be submitted via mail or email.


Mailing Address:
Vermont Center for Crime Victims Services
Training Department
ATTN: Amber King
60 South Main Street
Waterbury, VT 05676

Or forms can be emailed to Amber King at: Amber.King@ccvs.vermont.gov.

Please be sure you have completed all of the following:

T