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Spanish Language Trainer Profile - Arte Sana

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National <strong>Spanish</strong>–speaking Sexual Assault <strong>Trainer</strong> <strong>Profile</strong><br />

The following information will be complied into a national database and shared with sexual<br />

assault conference planners. Please make sure to include whatever contact information may<br />

be most appropriate, depending on whether your training services will be offered as an<br />

independent consultant or as part of an agency.<br />

Name:<br />

Current Position:<br />

Agency:<br />

Email:<br />

Phone:<br />

Mailing Address:<br />

City/State/Zip:<br />

Preferred Contact information<br />

Number of years experience offering training in <strong>Spanish</strong> (to victim advocates and allied<br />

professionals, including promotor@s):<br />

Number of years experience offering community presentations in <strong>Spanish</strong>:<br />

How many presentations have you offered in <strong>Spanish</strong><br />

1 - 5 6 - 12 13 - 20 21+<br />

Do you have experience preparing workshop proposals (in <strong>Spanish</strong> or English)<br />

Roughly how many proposals have you submitted<br />

Please mark all of the workshop or presentation durations that apply to your presenter<br />

experience in <strong>Spanish</strong><br />

1.5 hour presentation in <strong>Spanish</strong><br />

2 -3 hours of training in <strong>Spanish</strong><br />

Half-day training in <strong>Spanish</strong><br />

Full-day training in <strong>Spanish</strong><br />

Two days of training in <strong>Spanish</strong><br />

Please mark all of the topics that you’ve presented on and list one host entity per topic:<br />

“X” TOPIC “X” TOPIC<br />

La violación por pareja<br />

La violación por conocidos<br />

Host:<br />

Host:<br />

Abuso sexual infantil /de menores<br />

Socialización y la cultura de violación<br />

Host:<br />

Host:<br />

El incesto<br />

La trata de personas<br />

Host:<br />

Host:<br />

Sexting o Protegiendo a los jóvenes del<br />

acoso sexual en las comunicaciones<br />

telefónicas<br />

Host:<br />

Host:<br />

Acoso sexual<br />

<br />

1


Please mark all of the topics that you’ve presented on and list one host entity per topic:<br />

“X” TOPIC “X” TOPIC<br />

Los derechos y las necesidades de las<br />

El abuso sexual de personas de mayor<br />

sobrevivientes inmigrantes<br />

edad<br />

Host:<br />

Host:<br />

La violencia sexual en contra de<br />

personas LGBT<br />

Host:<br />

Host:<br />

La importancia de los equipos<br />

multidisciplinarios<br />

Host:<br />

El papel de la promotora para la<br />

prevención de la violencia sexual<br />

Host:<br />

Como abogar a favor de los derechos de<br />

las víctimas /sobrevivientes en ambientes<br />

hostiles<br />

Host:<br />

La necesidades de sobrevivientes LGBT<br />

de edad avanzada<br />

Host:<br />

La prevención primaria en español<br />

Sobrevivientes masculinos<br />

Depredadores sexuales<br />

Host:<br />

Host:<br />

Host:<br />

La prevención de la violencia sexual entre<br />

jóvenes<br />

Host:<br />

Servicios para sobrevivientes<br />

Additional workshops re. sexual violence that you have presented in <strong>Spanish</strong>:<br />

Host:<br />

Host:<br />

Additional Training Experience<br />

Please share any additional information regarding your <strong>Spanish</strong> language training experience that you feel<br />

may be relevant.<br />

<br />

2


References:<br />

Please list three bilingual professional references that can verify your <strong>Spanish</strong> language training skills.<br />

Name & Affiliation<br />

Email Address<br />

ü I verify that all information regarding my training experience in <strong>Spanish</strong> is<br />

correct.<br />

ü I understand that my name and contact information may be included in a master<br />

list of bilingual trainers, depending on my training experience.<br />

ü I also understand that coalitions and agencies may contact me directly and<br />

invite me to offer training sessions out of my state, and I am willing to follow-up<br />

on my own and provide all required information.<br />

______________________________________________________<br />

Signature<br />

Date: ____________<br />

<strong>Trainer</strong> Name: _________________________________________<br />

Please fax your signed form to: 866 – 254 – 8704 by December 30, 2011<br />

<br />

3

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