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Safer Bar Interest Form
Hello! Thank you for your interest in the RCC's Safer Bar Program. We thank you for your investment in creating safer places for Wisconsinites to gather!

This survey is designed to give us a better idea of your specific needs and to allow us to tailor our programming to maximize the impact on your establishment.

After completing this survey, you will hear back from our Safer Bar facilitators to schedule a program and  address any addition questions you may have. You will also receive=materials outlining the specifics of the program and membership details.

If you have any questions along the way, please feel free to reach out to safebar@thercc.org.
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Email *
What is your name and job title? *
What is the name of your establishment? *
What is the best email address to reach you? *
What is the best phone number to reach you? *
Approximately how many people do you have on staff?  *
Approximately how many staff do you anticipate attending the training? *
Could you tell us a little bit about the overall level of experience of your staff? *
What style of establishment do you have? *
Have you worked with the Rape Crisis Center in the past? *
How did you hear about the Safer Bar Program? *
Required
Please tell us about why you are interested in the Safer Bar program? *
Required
What are your hopes and/or desired outcomes from receiving this training?
What days/times would work best for your establishment for a 90 minute training? *
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