Requestor information
First name
Last name
Title
Preferred contact method
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Phone
Email
Email
Phone type
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Mobile
Work
Other
Phone
Organization information
Requesting agency or organization
Please use official organization name, without abbreviations.
Organization type
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Advocacy or other Non-Profit organization
Confinement agency
Professional association
Other
Jurisdiction type
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City or Municipal
County or Multi-County
Federal: Bureau of Prisons
Federal: Military
Judicial District
Private
Regional Authority
State
U.S. Territory
Other
Street
City
State
Please select...
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District Of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Puerto Rico
Virgin Island
Northern Mariana Islands
Guam
American Samoa
Palau
ZIP code
County
Are you submitting this request on behalf of a facility
Please select...
Yes
No
What is the
primary
facility type operated by the agency requesting assistance?
Please select...
Prisons
Jails
Lockups
Community Confinement facilities
Juvenile facilities
Other or none
Assistance information
Assistance requested
Please select...
Policy Review (PREA policy, coordinated response plan, training curriculum, risk assessment tool and process, etc.)
Provide onsite or virtual Training
Coaching on PREA standards for PREA Coordinators, PREA Compliance Managers and/or agency leadership
Request the PRC or one of our Partners to make an appearance or presentation at a conference or an event
OAS Support Training
Other - explain
List is not exhaustive.
Training requested
Please select...
Employee training (115.31)
Volunteer and contractor training (115.32)
Specialized training: Investigations (115.34)
Specialized training: Medical and mental health care (115.35)
The dynamics of sexual abuse and sexual harassment in confinement
Strengthening Victims Services Partnerships
Protecting the Safety and Well-Being of LGBTQI and Gender Nonconforming inmates/residents
Other - Specify
Other training requested
Other assistance requested
Subject
Description of assistance needed
Previous efforts
Has this jurisdiction previously received training or technical assistance from the PREA Resource Center?
Yes
No
Unknown
If a correctional agency/facility, has a PREA audit(s) been conducted?
Yes
No
Are you a "for profit" agency/facility?
Yes
No
Is your agency/facility currently receiving federal grant funding for PREA implementation?
Yes
No
Is this request a result of a PREA audit corrective action?
Yes
No