ASK & UASK Questionnaire
Interest form for bringing a customized ASK (Assault.Services.Knowledge.) or UASK (University Assault.Services.Knowledge.) app to your city, county, region, state, or university.

ASK AZ - www.askaz.org
ASK CT - www.askct.org
ASK ND - www.asknd.org
ASK DC - www.askdc.org
UASK DC - www.uaskdc.org
UASK Duke - www.uaskduke.org

Name *
Your answer
Organization / University *
Your answer
Position *
Your answer
Phone *
Your answer
Email *
Your answer
City *
Your answer
State *
Your answer
How did you hear about ASK or UASK? *
Your answer
What are your goals?
Your answer
How do you see the platform organized?
What information and features would you like to see on the customized platform?
Do you have the information you’d like to include or will it need to be researched?
Your answer
What is your timeline?
Your answer
Is funding available or will it need to be sourced?
Your answer
Does your process require bids or proposals?
Your answer
Do you have decision-making authority? If not, what is the decision-making process?
Your answer
What role does your legal counsel play in making these decisions?
Your answer
If you’re a University/College, who is your Title IX Coordinator and are they involved in this process?
Your answer
Does your community have a coordinated community response team/organization?
Your answer
Questions?
Your answer
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