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Department of Crime Victim Services 

Training, Provider Certification, and Statistical Analysis

Training Accreditation Application


* Is this an application for a new training program or a renewal of a current training program? 

Previous Course Number: 

If this training is part of a conference, please enter the Conference or Training Title: 

* Training Start Date: 

* Training End Date: 

* Training Location: 

Number of Participants (anticipated): 

List individual workshops below: 

Workshop Title: 

Workshop Start Time: 

Workshop End Time 



* Would you like to list this training on the CVST website? 

Sponsoring Organization: 


* Address Line 1 

Address Line 2 

* City 

* State 

* Zip 

* Email 

Work Phone 

Training Web Address: 

Training requests cannot be processed without the following required documents.

Course Description/Outline 

Conference/Workshop Agenda 

Presenter Biographies