Utah Regional Convening Registration Form

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Estimated time to complete: 5–7 minutes

The Pasifika Project’s Utah Regional Convening is a two-day, in-person gathering hosted by the Asian Pacific Institute on Gender-Based Violence (API-GBV), in partnership with Pouhana O Nā Wāhine (Pouhana), taking place March 25–26, 2026, in Salt Lake City.

This FREE event is open to advocates, service providers, community leaders, and systems partners who currently serve or are planning to serve Native Hawaiian and Pacific Islander (NHPI) survivors of domestic violence, dating violence, sexual assault, and stalking. The convening focuses on strengthening culturally responsive, survivor-centered, and sustainable approaches to addressing gender-based violence in NHPI communities.

OVW grantees: OVW grantees may use travel funds from their OVW awards to attend, subject to prior approval from their grant manager.

Participation varies by day and is based on staffing, scheduling, and venue considerations:

Day 1: Talanoa at the Capitol (requires confirmation)
Day 2: Training and Peer Networking is open for registration on a first-come, first-served basis.

Submission of this form does not guarantee participation. The project team will follow up with confirmation, waitlist status, and next steps.

Required questions are marked with an asterisk.

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E-Mail-Adresse *

Full Name *

Preferred Name

Phone Number

Organization Name *

Organization Type *

If you selected "Other" above, please describe here.

Your Role / Title *

Does your organization currently serve Native Hawaiian and/or Pacific Islander (NHPI) survivors? *

Yes

No, but we are planning to

Which convening sessions are you interested in?
Select all that apply. *

Day 1 (Mar 25) – Talanoa: Community Listening & Visioning Session (Confirmation required)

Day 2 (Mar 26) – Training & Peer Networking (Open registration; first-come, first-served)

Pflichtfrage

Briefly share your interest in the sessions selected above.

This helps with confirmation, facilitation planning, and potential follow-up technical assistance.

Do you have any accessibility or accommodation needs?

Select all that apply.

None at this time

ASL interpretation

CART / live captioning

Spoken language interpretation (please specify below)

Mobility or physical access needs (please specify below)

Dietary needs or restrictions (please specify below)

Sonstiges:

Pflichtfrage

If you selected any needs above, please describe here.

Accessibility or accommodation requests submitted after March 13, 2026 may be limited based on availability.

What topics or areas of support would be most helpful for your organization?
Select up to 3. We will follow up to discuss future training and technical assistance opportunities.

Culturally responsive and survivor-centered practice

Interpretation and translation

Organizational sustainability

Systems advocacy

Leadership development

Community engagement and trust-building

Storytelling and communications

Data, monitoring and evalution

Sonstiges:

Photography & Video Preference
Select one. *

I am comfortable being photographed or recorded in group settings

I prefer not to be photographed or recorded

I would like to discuss this further with the project team

Additional Considerations (Optional)

If there are any considerations related to privacy, safety, or participation you would like us to be aware of, please share below.

Please review and acknowledge the following:*
Checkbox (required) *

I understand that participation varies by convening day, that some sessions are invitation-only, and that Day 2 registration is first-come, first-served. I understand that API-GBV will follow up with confirmation or waitlist information and additional details.

Pflichtfrage

Sie erhalten unter der von Ihnen angegebenen E-Mail-Adresse eine Kopie Ihrer Antworten.

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