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EVA BC member staffing updates

Share details about new staff, updates about current staff, and let us know about any staff who have left your organization. 

By sharing details we can ensure all eligible staff have access to EVA BC member benefits.

Once you’ve entered the names and details for each person, please scroll to bottom of page and hit the “submit” button.

If you have questions or additional staff updates that don’t fit on form, please email us at programsupport@endingviolence.org

Date *
Agency name *
Your name *
Your email *
Your phone number *
Share details about your organization's NEW staff.
Switch on to find forms to share info for up to eight NEW staff.
Staff name
Pronouns
If other pronoun please specify here
Job Title
Staff work email
Staff work phone number
Does this staff person carry a caseload in a program funded by MPSSG?
if yes switch on
Which MPSSG program does this staff work in? Select all that apply
Is this staff involved in a Community Coordination initiative?
Switch on if yes and choose from the list displayed.

Please choose all that apply:

Community Coordination Initiatives
If coordination initiative not listed please specify
Please provide the name/location of Community Coordination committee or team, and identify the staff's role (co-chair, coordinator or member):
Add information about another new staff (2)
To add info about a new staff member or update info about an existing one, please select.
Staff name
Pronouns
If "other" pronoun please specify here
Job Title
Staff work email
Staff work phone number
Does this staff person carry a caseload in a program funded by MPSSG?
If yes, switch on
Which MPSSG program does this staff work in? Select all that apply
Is this staff involved in a Community Coordination initiative?
Switch on if yes and select from the list displayed.
Community Coordination Initiatives. Please select all that apply
If coordination initiative not listed please specify
Please provide the name/location of Community Coordination committee or team, and identify the staff's role (co-chair, coordinator or member):
Add information about another new staff (3)
To add info about a new staff member or update info about an existing one, please select.
Staff name
Pronouns
If "other" pronoun please specify here
Job Title
Staff work email
Staff work phone number
Does this staff person carry a caseload in a program funded by MPSSG?
If yes, switch on
Which MPSSG program does this staff work in? Select all that apply
Is this staff involved in a Community Coordination initiative?
Switch on if yes and select from the list displayed.
Community Coordination Initiatives. Please select all that apply
If coordination initiative not listed please specify
Please provide the name/location of Community Coordination committee or team, and identify the staff's role (co-chair, coordinator or member):
Add information about another new staff (4)
To add info about a new staff member or update info about an existing one, please select.
Staff name
Pronouns
If "other" pronoun please specify here
Job Title
Staff work email
Staff work phone number
Does this staff person carry a caseload in a program funded by MPSSG?
If yes, switch on
Which MPSSG program does this staff work in? Select all that apply
Is this staff involved in a Community Coordination initiative?
Switch on if yes and select from the list displayed.
Community Coordination Initiatives. Please select all that apply
If coordination initiative not listed please specify
Please provide the name/location of Community Coordination committee or team, and identify the staff's role (co-chair, coordinator or member):
Add information about another new staff (5)
To add info about a new staff member or update info about an existing one, please select.
Staff name
Pronouns
If "other" pronoun please specify here
Job Title
Staff work email
Staff work phone number
Does this staff person carry a caseload in a program funded by MPSSG?
If yes, switch on
Which MPSSG program does this staff work in? Select all that apply
Is this staff involved in a Community Coordination initiative?
Switch on if yes and select from the list displayed.
Community Coordination Initiatives. Please select all that apply
If coordination initiative not listed please specify
Please provide the name/location of Community Coordination committee or team, and identify the staff's role (co-chair, coordinator or member):
Add information about another new staff (6)
To add info about a new staff member or update info about an existing one, please select.
Staff name
Pronouns
If "other" pronoun please specify here
Job Title
Staff work email
Staff work phone number
Does this staff person carry a caseload in a program funded by MPSSG?
If yes, switch on
Which MPSSG program does this staff work in? Select all that apply
Is this staff involved in a Community Coordination initiative?
Switch on if yes and select from the list displayed.
Community Coordination Initiatives. Please select all that apply
If coordination initiative not listed please specify
Please provide the name/location of Community Coordination committee or team, and identify the staff's role (co-chair, coordinator or member):
Add information about another new staff (7)
To add info about a new staff member or update info about an existing one, please select.
Staff name
Pronouns
If "other" pronoun please specify here
Job Title
Staff work email
Staff work phone number
Does this staff person carry a caseload in a program funded by MPSSG?
If yes, switch on
Which MPSSG program does this staff work in? Select all that apply
Is this staff involved in a Community Coordination initiative?
Switch on if yes and select from the list displayed.
Community Coordination Initiatives. Please select all that apply
If coordination initiative not listed please specify
Please provide the name/location of Community Coordination committee or team, and identify the staff's role (co-chair, coordinator or member):
Add information about another new staff (8)
To add info about a new staff member or update info about an existing one, please select.
Staff name
Pronouns
If "other" pronoun please specify here
Job Title
Staff work email
Staff work phone number
Does this staff person carry a caseload in a program funded by MPSSG?
If yes, switch on
Which MPSSG program does this staff work in? Select all that apply
Is this staff involved in a Community Coordination initiative?
Switch on if yes and select from the list displayed.
Community Coordination Initiatives. Please select all that apply
If coordination initiative not listed please specify
Please provide the name/location of Community Coordination committee or team, and identify the staff's role (co-chair, coordinator or member):
Share updates about CURRENT staff with new roles, responsibilities or contact information.
Switch on to find forms to share updates for up to five CURRENT staff.
Staff Name
Pronouns
If "other" pronoun please specify here
Job Title
Staff work email
Staff work phone number
Does this staff person carry a caseload in a program funded by MPSSG?
If yes, switch on
Which MPSSG program does this staff work in? Select all that apply
Is this staff involved in a Community Coordination initiative?
Switch on if yes and select from the list displayed.
Community Coordination Initiatives. Please select all that apply
If coordination initiative not listed please specify
Please provide the name/location of Community Coordination committee or team, and identify the staff's role (co-chair, coordinator or member):
Add another CURRENT staff update (2)
Staff Name
Pronouns
If "other" pronoun please specify here
Job Title
Staff work email
Staff work phone number
Does this staff person carry a caseload in a program funded by MPSSG?
If yes, switch on
Which MPSSG program does this staff work in? Select all that apply
Is this staff involved in a Community Coordination initiative?
Switch on if yes and select from the list displayed.
Community Coordination Initiatives. Please select all that apply
If coordination initiative not listed please specify
Please provide the name/location of Community Coordination committee or team, and identify the staff's role (co-chair, coordinator or member):
Add another CURRENT staff update (3)
Staff Name
Pronouns
If "other" pronoun please specify here
Job Title
Staff work email
Staff work phone number
Does this staff person carry a caseload in a program funded by MPSSG?
If yes, switch on
Which MPSSG program does this staff work in? Select all that apply
Is this staff involved in a Community Coordination initiative?
Switch on if yes and select from the list displayed.
Community Coordination Initiatives. Please select all that apply
If coordination initiative not listed please specify
Please provide the name/location of Community Coordination committee or team, and identify the staff's role (co-chair, coordinator or member):
Add another CURRENT staff update (4)
Staff Name
Pronouns
If "other" pronoun please specify here
Job Title
Staff work email
Staff work phone number
Does this staff person carry a caseload in a program funded by MPSSG?
If yes, switch on
Which MPSSG program does this staff work in? Select all that apply
Is this staff involved in a Community Coordination initiative?
Switch on if yes and select from the list displayed.
Community Coordination Initiatives. Please select all that apply
If coordination initiative not listed please specify
Please provide the name/location of Community Coordination committee or team, and identify the staff's role (co-chair, coordinator or member):
Add another CURRENT staff update (5)
Staff Name
Pronouns
If "other" pronoun please specify here
Job Title
Staff work email
Staff work phone number
Does this staff person carry a caseload in a program funded by MPSSG?
If yes, switch on
Which MPSSG program does this staff work in? Select all that apply
Is this staff involved in a Community Coordination initiative?
Switch on if yes and select from the list displayed.
Community Coordination Initiatives. Please select all that apply
If coordination initiative not listed please specify
Please provide the name/location of Community Coordination committee or team, and identify the staff's role (co-chair, coordinator or member):
Share updates about any staff who have RECENTLY LEFT your organization
Switch on to share updates about staff who no longer work with your organization
Name
Former job title
Share another name of staff who RECENTLY LEFT your organization (2)
Name
Former job title
Share another name of staff who RECENTLY LEFT your organization (3)
Name
Former job title
Share another name of staff who RECENTLY LEFT your organization (4)
Name
Former job title
Share another name of staff who RECENTLY LEFT your organization (5)
Name
Former job title

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