Sexual Assault Response Team (SART) Application
If you do not know the answers to any of these questions, please refer to your supervisor and/or the SART lead in your community for clarification, prior to applying.
What is your discipline?
*
Please Select
Advocate
Law Enforcement
Medical
Paralegal
Prosecutor
Other
Are you currently an employee or supervised volunteer of a victim counseling center* that provides counseling to victims and who has undergone a minimum of 40 hours of training in domestic violence or sexual assault, crisis intervention, victim support, treatment and related area; or whose duties include victim counseling?
Please Select
Yes
No
Are you actively responding to SART call outs or will you be in the immediate future after attending this course or are you directly supervising those who are ?
Please Select
Yes
No
Does the agency you work for have a signed Memorandum of Agreement / Understanding with their regional/local SART?
Please Select
Yes
No
Are you an RN or above (RN, ANP, PA, or MD)?
Please Select
Yes
No
Have you completed the IAFN 41-Hour Online Adolescent/Adult Training Program or the Sigma Theta Tau International 44-hour Sexual Assault Forensic Examiner Program Online Course?
Please Select
Yes
No
Are you part of a SART/agency that is actively responding to sexual assault call outs serving adults in Alaska or will be in the immediate future once SART Training is completed or are you directly supervising those who are?
Please Select
Yes
No
Does your agency have a signed Memorandum of Agreement / Understanding with their regional/local SART?
Please Select
Yes
No
Are you a Municipal Police Officer or State Trooper and currently working in Alaska that is certified by APSC?
Please Select
Yes
No
Do you actively investigate sex crimes/respond to SART callouts in Alaska or will you be in the immediate future after transfer/promotion or are you directly supervising those who are?
Please Select
Yes
No
Does the agency you work for have a signed Memorandum of Agreement / Understanding with their regional/local SART?
Please Select
Yes
No
Are you a paralegal working for the Alaska Department of Public Safety or Alaska Department of Law?
Please Select
Yes
No
Are you actively working on sexual assault cases or will be in the immediate future after attending this course or are you directly supervising those who are?
Please Select
Yes
No
Are you a Prosecutor working for Alaska Department of Law?
Please Select
Yes
No
Are you actively prosecuting sexual assault cases or will be in the immediate future after attending this course or are you directly supervising those who are?
Please Select
Yes
No
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Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Agency / Organization
*
Agency / Organization Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Job Title
*
What is the name of the community where you respond to incidents of sexual assault?
*
Supervisor Name
*
Supervisor Email
*
How many years have you been working in your discipline?
*
Briefly describe your experience with sexual assault callouts/cases.
*
Have you attended SART Training in Alaska in the past 3 years?
*
If your home is more than 50 miles away from Anchorage, are you requesting air travel?
*
Do you have any disability accommodation needs? If yes, please explain.
*
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