Team Membership 11 or More

This membership is for SAFE Teams consisting of 11 or more members and includes:

Collaboration, comradery, and networking with California SAFE Teams and leaders
Consultation, problem-solving, and technical assistance from experienced teams
Updated educational resources based on science and evidence-based protocols
Latest information about state and federal policies affecting SAFE Teams
Pathway to legislative education on issues that affect SAFE practice and ideas for annual submission to California legislature
Access to the members-only portal
Weekly peer review and consultation zoom
Sample protocols
Position statements
Job postings and members-only blog
SAFE team directories in California

APPLICATION

Terms:

$2,000 / Year

First Name:* First Name Required

Last Name:* Last Name Required

Phone:* Phone is Required

Street Address:* Street Address is Required

City:* City is Required

State:* State is Required

Zip Code:* Zip Code is Required

County Where Exams Performed:* County Where Exams Performed is Required

List additional counties you practice in: List additional counties you practice in is not valid

Your Title:* Your Title is Required

Professional License Number:* Professional License Number is Required

Expiration Date:* Expiration Date is Required

Are you an examiner currently active with a sexual assault forensic exam (SAFE/SANE) team?:* Are you an examiner currently active with a sexual assault forensic exam (SAFE/SANE) team? is Required

Yes No In Process

Name of Exam Team or Hospital:* Name of Exam Team or Hospital is Required

Exam Team Coordinator or Director:* Exam Team Coordinator or Director is Required

Coordinator or Director's Email Address:* Coordinator or Director's Email Address is Required

Coordinator or Director Phone:* Coordinator or Director Phone is Required

How Long Have You Been An Examiner:* How Long Have You Been An Examiner is Required

How Many Exams Have You Completed (Approximately):* How Many Exams Have You Completed (Approximately) is Required

Team Name (If purchased): Team Name (If purchased) is not valid

Your Gender:* Your Gender is Required

If you selected other option to provide more information: If you selected other option to provide more information is not valid

Your Race/Ethnicity:* Your Race/Ethnicity is Required

If you selected other option to provide more information: If you selected other option to provide more information is not valid

Email:* Invalid Email

Password:* Invalid Password

Password Confirmation:* Password Confirmation Doesn't Match

Description	Amount
Team Member 11+ – Initial Payment	$2,000.00
Total	$2,000.00

Credit Cards

Name on the card:* Name on the card is required.

Credit Card:*

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TEAM MEMBERSHIP - 11 OR MORE

APPLICATION

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