Pre Evaluation FormStep 1 of 2 Full Name* Email* Confirm Email Phone* Organization Position (Please Choose Below)* Frontline Staff & CBO's City Leaders/Municipal Directors Public Safety Professional Responders Hospital Based/HVIP Address* StateAlabamaAlaskaAmerican 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 Training Level* PCITI Level 1 PCITI Level 2 PCITI Level 3 PCITI Level 4 Conflict Dispute TrainingNextFrontline Staff & CBO's 1) How would you rate your understanding on the concepts of Community-Based Public Safety or the Community Violence Interdiction? 1 Very Poor 2 3 4 5 Very Good 2) Who/What entity is the most important partner within a comprehensive citywide violence reduction strategy? 3) Who should take ownership of a comprehensive citywide violence reduction strategy? 4) How would you currently rate your ability to resolve violent conflict? 1 Very Poor 2 3 4 5 Very Good City Leaders/Municipal Directors 1) How would you rate your understanding on the concepts of Community-Based Public Safety or the Community Violence Interdiction? 1 Very Poor 2 3 4 5 Very Good 2) Who/What entity is the most important partner within a comprehensive citywide violence reduction strategy? 3) Who/What entity is the most important partner within a comprehensive citywide violence reduction strategy? 4) How would you currently rate your history of supporting community based organizations doing violence reduction work? 1 Very Poor 2 3 4 5 Very Good Public Safety Professional Responders 1) How would you rate your understanding on the concepts of Community-Based Public Safety or the Community Violence Interdiction? 1 Very Poor 2 3 4 5 Very Good 2) Who/What entity is the most important partner within a comprehensive citywide violence reduction strategy? 3) Who should take ownership of a comprehensive citywide violence reduction strategy? 4) How would you currently rate your understanding of the difference between community policing and community based violence interdiction? 1 Very Poor 2 3 4 5 Very Good Hospital-Based/CVI/HVIP 1) How would you rate your understanding on the concepts of Community-Based Public Safety or the Community Violence Interdiction? 1 Very Poor 2 3 4 5 Very Good 2) Who/What entity is the most important partner within a comprehensive citywide violence reduction strategy? 3) Who should take ownership of a comprehensive citywide violence reduction strategy? 4) How would you rate your understanding of the root causes of intentional injury for the population you serve? 1 Very Poor 2 3 4 5 Very Good Previous SubmitThanks for completing your registration and Day 1 check-in, ! You're all set for today.
