Kansas Academy for Victim Assistance (KAVA) Application

What is the Kansas Academy for Victim Assistance?
The Kansas Governor’s Grants Program (KGGP) provides leadership and oversight for statewide victim services training. In 2002, the first training was held and called Building Advocacy Skills, Information and Knowledge (B.A.S.I.K.). In 2012, the KGGP updated the training course and began the Kansas Academy for Victim Assistance (KAVA), an enhanced and reformatted version of B.A.S.I.K. KAVA is a statewide training academy committed to the improvement of victim services by enhancing the skills of professionals who work with crime victims and survivors. The purpose of the academy is to provide participants with a foundation of knowledge and skills to create a consistent, victim-centered, and trauma-informed response to crime victims and survivors in Kansas.

Who should attend?
KAVA is open to staff and volunteers from community agencies, coalitions, or organizations who provide direct service to crime victims. This can include, but is not limited to, victim advocates, prosecuting attorneys, corrections professionals, law enforcement, individual counselors and therapists, and allied professionals. KAVA is designed for those with less than three years of experience providing direct services in the victim services field.

What are the requirements?
• All interested participants are required to submit an application. Due to limited space, a selection process will occur.
• Accepted applicants are expected to the KAVA session for which they are selected.
• KAVA is approximately 42 hours of pre-work and live online classes. Participants must attend and complete all aspects of KAVA work to graduate.

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* 1. Applicant Last Name

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* 2. Applicant First Name

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* 3. Agency/Organization Name

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* 4. Contact Information

Agency Address

Address 2

City/Town

State/Province

ZIP/Postal Code

Email Address

Agency Phone Number

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* 5. Which of the following best describes the field in which you work?

Child abuse/child protection

Corrections/probation

County/District/City Attorney's office

County/District court

Education/Campus

Law enforcement

Legal services

Medical/healthcare

Mental health

Tribal services

Victim compensation

Domestic/sexual violence services

Other victim services

Other (please specify)

Experience and Education

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* 6. Current Position Title

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* 7. I am:

a full-time employee

a part-time employee

a volunteer

a student

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* 8. Date started with the agency

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* 9. Number of years working with crime victims, paid or volunteer

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* 10. Highest formal education attainment

High school diploma/GED

Associate's degree

Bachelor's degree

Master's degree

Juris doctor

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* 11. If you hold a degree, please describe (bachelor of social work, masters in psychology, etc):

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* 12. Approximately how many hours of victim assistance-specific training have you received (including formal education if applicable)?

0-10 hours

11-20 hours

21-30 hours

31-40 hours

Over 40 hours

Agency/Organization Information

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* 13. Which best describes your agency's service area? (Check all that apply)

Rural

Suburban

Urban

Statewide

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* 14. In what area of the state do you work primarily?

Statewide

Northwest

Northcentral

Northeast

Southwest

Southcentral

Southeast

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* 15. Supervisor's Name

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* 16. Supervisor's phone number

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* 17. Supervisor's email address

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* 18. Required Attachment: You MUST include this attachment to be considered for KAVA.

A one-page essay stating why you want to attend the Academy and how your participation will be of benefit to you (professionally and personally), your organization, and your community. Please describe the nature of your contact with crime victims through your past and/or present employment or volunteer duties. Please include any additional information you believe is important for the applicant selection committee to consider.

PDF, DOC, DOCX file types only.

Choose File

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* 19. By signing below, you certify that all information contained in this application is accurate. You agree to meet all the requirements and conditions listed in this application and that you agree to abide by any additional rules of conduct that may be imposed by the Academy as needed to successfully
host the Academy. Failure to comply with any of the stated Academy requirements or additional rules of conduct may result in disqualification from the Academy and/or denial of Certificate of Training without refund.

I agree

Kansas Academy for Victim Assistance (KAVA) Application

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* 1. Applicant Last Name

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* 2. Applicant First Name

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* 3. Agency/Organization Name

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* 4. Contact Information

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* 5. Which of the following best describes the field in which you work?

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* 6. Current Position Title

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* 7. I am:

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* 8. Date started with the agency

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* 9. Number of years working with crime victims, paid or volunteer

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* 10. Highest formal education attainment

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* 11. If you hold a degree, please describe (bachelor of social work, masters in psychology, etc):

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* 12. Approximately how many hours of victim assistance-specific training have you received (including formal education if applicable)?

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* 13. Which best describes your agency's service area? (Check all that apply)

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* 14. In what area of the state do you work primarily?

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* 15. Supervisor's Name

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* 16. Supervisor's phone number

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* 17. Supervisor's email address

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* 18. Required Attachment: You MUST include this attachment to be considered for KAVA.

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* 20. Electronic signature (type your full name here)