Program

Title*

Contact information

Url*

Street address

Postal code

Phone number

Email

If a college administrator or student is interested in working with your program, who should they contact?

Program Details

Institution type*

University / College (4 year)

Community College (2 year)

Graduate

Professional

Other

Age group*

Traditional Age (18-24)

Other

Audience*

General Student Body

Freshmen / Incoming Students

Gender Specific - Male

Gender Specific - Female

Athletes

Greek

Other

Delivery method*

Online Module(s)

In-Person Presentation

Interactive Theatre

Mobile App

Training for Peer Facilitation

Training for Faculty Facilitation

Topics*

Alcohol and Sexual Assault

Awareness

Bystander Intervention

Consent

Dating Violence

Disciplinary Procedures

Domestic Violence

Drug Use and Sexual Assault

Empathy Building

Neurological Effects of Trauma

Reporting Options

Rights of Victims on Campus

Risk Reduction and Safety

Sexual Assault

Sexual Harassment

Social Norms

Stalking

Title IX Policies and Procedures

Duration*

Single Session

Multi Session

How many sessions?

Program Background

Short program summary*

Full program summary (include delivery format and implemenation)*

History (how was the program created?)

What is the program's theory of change?

Is the program research-informed? If yes, please describe how research informed the content of the program.

Is the program trauma-informed? If yes, please describe how relevant sources informed the program.

Compliance

How does the program ensure compliance with the requirements of the Violence Against Women Act (VAWA)?

How does the program ensure compliance with Title IX?

Evaluation and Performance Assessments

Is the program evidence-based? If yes, please list the evidence to support that the program is effective.

Who was the research conducted by?

Program

Client

Independent researcher

Have the results of the evaluation been published? If so, please list citations/sources and whether or not the publication was peer-reviewed.

Features

Can users customize the program and its content? If yes, in what ways?

Welcome message

Welcome videos

Policy information

Survivor support/resource information

Statistics

Police/reporting information

Other

Is data collected about student participants, such as attitudes/beliefs, experience with interpersonal violence, or alcohol/drug use?

If yes, who can access this data?

Will data be connected to students’ personally identifiable information?

Logistics

What is the program’s pricing model?*

--------- Cost per student Overall fee Other

Additional information

What other prevention services are offered for college?

Faculty/staff training

Alcohol and/or drug education

Fraternity and sorority education

Advisory services

Other

For questions and communication regarding your application, who should RAINN contact?*