St. Louis Ending Domestic and Sexual Violence Network's Janeé Johnson Empowerment Fund Nomination Form
In memory of our fellow advocate, Janeé Johnson, this fund serves as an educational scholarship for rising professionals in the fields of Intimate Partner Violence and Sexual Violence. The fund is intended to support the education, training, or certification of students or young professional. Proposed uses of the fund may include: Continuing Education Units (CEU), Continuing Legal Education (CLE), classes, one-day conferences, certifications, etc. that will enhance learning and contributions to supporting survivors. 

Applicants are not required to be member organization staff, but should have some affiliation to member organizations (e.g. staff, volunteer, intern). Applicants may nominate themself or another member organizations party. 
Sign in to Google to save your progress. Learn more
Individual nominating: full name and pronouns *
Individual nominating: email *
Nominee if different from person nominating: full name and pronouns 
Nominee if different from person nominating: email

Briefly explain why you are nominating this candidate? 

Consider connection to IPV/DV/SV, career goals, education/professional development goals, and advocacy and social justice. Please note, it is not necessary to provide rationale of financial hardship. 

*
What is the rationale for requested funds: training, CEU, conference, or opportunity? Share specifically if known. 
What is the cost of the training, CEU, conference, etc.? If known, share the exact cost or an estimate. 
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy