Application for Customized Technical Assistance- GWN

This application is the initial step in a multi-step process of qualifying your program to receive technical assistance from the GWN team. Completing this form does not guarantee that your program will be selected to receive customized technical assistance. However, it will start the process of screening your program to determine eligibility for obtaining technical assistance. If your program is selected as a technical assistance recipient, the GWN team will conduct a customized approach to reviewing your program’s processes, methods, measures, and outcomes in support of women’s treatment and recovery.



Criteria for Technical Assistance
1. Program in operation and in good standing for two years or more
2. No human rights violations or other evidence of concerning violations
3. Clear rationale for the need for Technical Assistance and articulated goals for Technical Assistance
4. Programs are selected with a diversity of geography and rural or urban mix
5. Verification of being recognized by the government
6. Verification that the program has not had any evidence of human rights violations

Technical assistance, also known as “TA,” is the process of providing specific knowledge, guidance, and help to an organization with a development need or problem. It is an effective method for building an organization's capacity. TA involves communication between a specialist or consultant and the organization.
The specialist should be aware of the organizational culture and any specific circumstances related to the development need.
The structure of how TA is delivered varies. It can be a one-on-one consultation virtually for a very specific issue. For example, a program wants to implement a new screening tool for trauma. It can also be a larger project. For example, I am the director of a mixed-gender setting and I want to develop a new set of services to treat women and measure the program's outcomes. TA can be provided in person or by phone, email, or other online methods such as Web-conferencing.
TA is also typically delivered over an extended period.
The specialist or consultant should adhere to a set of core principles for technical assistance to be effective.
Effective TA should be:
• Collaborative. Work jointly with the organization’s staff to identify underlying needs.
• Systematic. Use an orderly approach.
• Targeted. Determine where technical assistance will have the most significant impact.
• Adaptive. Be flexible.
• Customized. Respond to the unique needs of the organization.
• Results-driven. Identify measures that indicate improvement.







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* 1. Name, position, address, phone number of the person to contact about the information completed in this form:

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* 2. Email andWhatsApp contact

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* 3. Treatment program name for which assistance is requested:

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* 4. Treatment program address (physical address, including country) for which assistance is requested:

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* 5. Treatment program website and social media locations for which assistance is requested (e.g., Facebook, What’s App, X, Threads, Instagram, YouTube)

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* 6. Check which one best describes the location/setting of your program:

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* 7. Provides treatment to women in what type of setting (Check which one applies)

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* 8. Treatment modality (Check which one applies)

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* 9. How many women does the treatment program serve each year?

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* 10. How many staff do you have in the center?

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* 11. How many volunteers do you have in the center?

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* 12. How many years has the program been serving women?

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* 13. Why are you applying for Technical Assistance?

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* 14. What are the three most important goals you want to achieve from Technical Assistance?

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* 15. Please provide reasons why you need in person technical assistance rather than all technical assistance being provided over ZOOM:

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* 16. I have permission to complete this form on behalf of my treatment program's leadership.

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