Existe Ayuda Regional Session Application Form

 

 

 

Existe Ayuda Partners

Project Support Map

 

Name (as it appears on driver's license or passport):
Title:
Agency:
Address:
City:
State:
Zip Code:
Email:
Phone:
Are you Bilingual?



If yes, please indicate level of fluency in Spanish (mark all that are appropriate).
Speak Read and or Write in Spanish
Have you offered workshops or presentations in Spanish before?



If so, how many years have you offered sessions in Spanish?
Aproximately Years



Number of years working with Spanish-speaking communities:
Years

Please provide a 50 to 70-word summary of the work you do on behalf of Spanish-speaking or underserved ELS, English as a Second Landguage or ELL English Language Learner survivors of sexual assault.

TRAVEL, LODGING & MEALS

The grant will cover the flight and one night of lodging expenses for out-of-state attendees. Lodging expenses will be covered for guests who require three hours or more of ground travel to make the meeting.

If you need travel support, please name the nearest airport:

Some meeting meals will be provided; do you have any dietary needs?



If yes, please explain:

I will download, read, sign, and fax the application Form.

Download Application Form Agreement.

YOUR APPLICATION WILL NOT BE COMPLETE UNTIL WE RECEIVE THE SIGNED ATTENDANCE AGREEMENT FORM

     

home | about us | services | information | resources | en español


Copyright © Arte Sana. All Rights Reserved. Terms of Use.

Arte Sana
An international nonprofit organization dedicated to promoting healing and empowerment through the arts and education.
Your
privacy is important to us.