Pre Evaluation FormStep 1 of 520%Full Name(Required)Email(Required) Enter Email Confirm Email Phone(Required)OrganizationPosition (Please Choose Below)(Required)Frontline Staff & CBO'sCity Leaders/Municipal DirectorsPublic Safety Professional RespondersHospital Based/HVIPAddress(Required) Street Address Address Line 2 City State AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code Training Level(Required) PCITI Level 1 PCITI Level 2 PCITI Level 3 PCITI Level 4 Conflict Dispute TrainingFrontline Staff & CBO's1) How would you rate your understanding on the concepts of Community-Based Public Safety or the Community Violence Interdiction?(Required)1 (Very Poor)2345 (Very Good)2) Who/What entity is the most important partner within a comprehensive citywide violence reduction strategy?(Required)3) Who should take ownership of a comprehensive citywide violence reduction strategy?(Required)4) How would you currently rate your ability to resolve violent conflict?(Required)1 (Very Poor)2345 (Very Good)City Leaders/Municipal Directors1) How would you rate your understanding on the concepts of Community-Based Public Safety or the Community Violence Interdiction?(Required)1 (Very Poor)2345 (Very Good)2) Who/What entity is the most important partner within a comprehensive citywide violence reduction strategy?(Required)3) Who/What entity is the most important partner within a comprehensive citywide violence reduction strategy?(Required)4) How would you currently rate your history of supporting community based organizations doing violence reduction work?(Required)1 (Very Poor)2345 (Very Good)Public Safety Professional Responders1) How would you rate your understanding on the concepts of Community-Based Public Safety or the Community Violence Interdiction?(Required)1 (Very Poor)2345 (Very Good)2) Who/What entity is the most important partner within a comprehensive citywide violence reduction strategy?(Required)3) Who should take ownership of a comprehensive citywide violence reduction strategy?(Required)4) How would you currently rate your understanding of the difference between community policing and community based violence interdiction?(Required)1 (Very Poor)2345 (Very Good)Hospital-Based/CVI/HVIP1) How would you rate your understanding on the concepts of Community-Based Public Safety or the Community Violence Interdiction?(Required)1 (Very Poor)2345 (Very Good)2) Who/What entity is the most important partner within a comprehensive citywide violence reduction strategy?(Required)3) Who should take ownership of a comprehensive citywide violence reduction strategy?(Required)4) How would you rate your understanding of the root causes of intentional injury for the population you serve?(Required)1 (Very Poor)2345 (Very Good)Δ
