Support Us
ESCAPE
Home
About PFP
Who We Are
Our History
Mission
2018
About DV
About DV
What Defines DV & Signs
>
Tips for Victims
Tips for Leaders
Tips for Community
Islam and DV
Programs
Community Development & Education
Training & Technical Assistance
Request Form
Resources
Direct Services
PFP Publications
>
Perspective on DV
Other Publications
>
Bibliographies
DV and Islam
Statistics
Articles
Commentary
DV-in-Muslim-Community
Immigrant Muslim Women
Videos
Prevention & Advocacy
>
Amal Women Center
Bullying
>
Cyberbullying
College Resource
DVAM
Financial Help
HEART Women & Girls
Domestic Violence: Understanding the Basics
Safe Havens Interfaith
>
Webinars
Contact
Contact Us
Opportunities
Send Feedback
Request Form
Donate
Training/Program/Consultation Request Form
*
Indicates required field
Type of Event
*
Training of Trainers
Presentation
Consultation - DV Policy
Consultation - Community Leaders
Consultation - Other
Couples Date Night
Cultural Sensitivity Training
Training
Marital Bliss Event
Webinar
Imam Professional Development
Chaplain Professional Development
Panel Conference
Keynote
Topic: Choose 1-2
*
Islamic Perspective of Domestic Violence
Islamic Model of Healthy Families
Islamic Perspective of Mental Health
Sexual Violence
Responding Effectively to Domestic Violence
Healthy Teen Relationships
Working Effectively with Muslim Families & Communities
Professional Workshops for Religious Leaders
Positive Communication
Using Faith to Address Child Abuse, Sexual Assault & Domestic Violence
Pre-marital & Marriage
Addressing Divorce
Other
If other, please specify
*
How did you hear about us?
*
Social Media (Facebook, twitter, etc.)
Programs
Colleague, friend, family member
Online research
Other organizations
Newsletter
Other
If Other - Please List:
*
Location of Event (address, city, state, country)
*
Length of Event
*
1 day
2 days
3 days
1/2 day
3 hr
2 hr
1.5 hr
1 hr
Approximate Audience Size
*
Organization
*
Can put N/A if individual
Organization Website link
*
Has PFP presented here before? If yes, what topic?
*
Preferred Date of training
*
Preferred Time of Day for Training
*
Morning (9am-12am)
Afternoon (12am-5pm)
Evening (5pm-8pm)
Preferred Day of Training
*
Sunday
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Name for point of contact
*
First
Last
Who can we reach out to for questions?
Position Title
*
Description of Audience
*
Phone
*
Comments
*
Email
*
Address (if different from above)
*
Line 1
Line 2
City
State
Zip Code
Country
Submit
Home
About PFP
Who We Are
Our History
Mission
2018
About DV
About DV
What Defines DV & Signs
>
Tips for Victims
Tips for Leaders
Tips for Community
Islam and DV
Programs
Community Development & Education
Training & Technical Assistance
Request Form
Resources
Direct Services
PFP Publications
>
Perspective on DV
Other Publications
>
Bibliographies
DV and Islam
Statistics
Articles
Commentary
DV-in-Muslim-Community
Immigrant Muslim Women
Videos
Prevention & Advocacy
>
Amal Women Center
Bullying
>
Cyberbullying
College Resource
DVAM
Financial Help
HEART Women & Girls
Domestic Violence: Understanding the Basics
Safe Havens Interfaith
>
Webinars
Contact
Contact Us
Opportunities
Send Feedback
Request Form
Donate