Anti-Violence Initiative Volunteer Form
The anti-violence initiative advocates for a population that is vulnerable to violence within the home. Amidst social distancing efforts in the wake of COVID-19, social isolation and stay-at-home orders may contribute to increasing the risk/prevalence of human trafficking, intimate partner violence, and child abuse. Victims of these forms of violence normally have little access to resources, and social isolation further reduces external opportunities for intervention. However, there are several roles in leadership/direct service for medical students to get involved!

We have been working with the COVID-19 Task Force on DV ( as well as several local organizations to identify opportunities for HMS student involvement. The roles listed on this form are to gauge student interest and are open to medical students. Some of these positions/projects may require training coordinated by the partnering organization.

If you have any questions or suggestions, please email Jaya Prakash at
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Email *
What is your first name? *
What is your last name? *
What is your phone number? *
Which stage of clinical training are you? *
Please mark which opportunities with the COVID-19 Task Force on DV you are most interested in:
No one should have to choose between a virus or violence. The COVID19 Task Force on Domestic Violence was formed to investigate, educate, and advocate on behalf of survivors as they face this unprecedented crisis. We work to investigate by aggregating data on domestic violence and identifying challenges to survivors. We work to educate by consolidating resources for survivors and allies and increasing awareness and engagement in bystanders. We work to advocate by creating relationships across NGOs focused on domestic violence survivors while lobbying government leaders to take real steps to address these challenges.We have five teams that advance our goals: Content Development, Data Management, External Affairs, Social Media Outreach, and Website Management. We have a diverse community of members with interests ranging from police metrics analysis and health care provider resource development to seminar videos educating the public and direct advocacy to state and national representatives. If any of our goals or aspirations interest you, we have a place for you in the task force. We believe that if we come together at this crucial time, we can have a significant and lasting impact in our communities and across the country. We welcome your unique background and your desire to make a positive difference. Together, we hope to eliminate the choice that some in our communities must make between two types of harm - join us and help make this a reality, today. Email for more information on how to get involved.
Please mark which opportunities with local DV shelters/organizations you are most interested in:
Do you have other ideas on how HMS students can help serve/advocate for these at-risk groups?
Do you have experience working with victims/survivors of violence? If yes, please describe below. *
Have you volunteered or collaborated with any local shelters/organizations? *
Do you have fluency in any language(s) besides English?
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