REGISTRATION FORMS

Welcome to 2020 Survivors Speak! Before you begin, make sure we’re still
accepting forms for the event you are attempting to register for. You must:

  • Be invited to Survivors Speak!
  • Have a working email address.
  • Have a valid phone number.
  • Agree to Survivors Speak terms and agreements.

* If you are a partner, you must also submit a completed w9.

Choose from the following:

REGISTRATION FORM

Most attendees use this form!

APPLICATION

To protect our attendees we need to know more about you: apply to attend Survivors Speak now!

UPLOAD FORM

Are you already registered but need to upload additional documents or waivers? Click here.

PARTNER ACCEPTANCE FORM

Accept your grant and register for Survivors Speak all at once!

Confused? Have a question? Or can’t find what you’re looking for? Email us at [email protected] and we’ll be in touch.

CALENDAR

SUNDAY

#SURVIVORSUNDAY

#SurvivorSunday kicks off NCVRW elevating the voices of communities most impacted by COVID-19.

It aims to begin the week with a strong showing of solidarity in this time of crisis and the responses survivors are calling for to #StopTheSpread.

The online activity will represent a diverse range of digital stories of crime survivors.

Follow Us on social media @CSSJustice to participate.

MONDAY

CSSJ NATIONAL CRIME VICTIMS RIGHTS WEEK PRESS CONFERENCE

The Survivors Speak press conference hosted by Crime Survivors for Safety & Justice aims to bring together Attorney General’s & key state leaders from states across the country to show unity and a vision to advance reforms for victims of crime (TRCs, Victims Comp, Victim Services, etc.)

The conference aims to inform lawmakers & media of our priorities and unify key state leaders.

Zoom Link: https://bit.ly/2yZ0YYq

TUESDAY

NATIONAL SURVIVOR ADVOCACY DAY

Details to come!

WEDNESDAY

WELLNESS WEDNESDAY

CSSJ is partnering with The Well for Life, LLC, Dr. LaDonna Butler, chapter leaders, and survivors to launch #WellnessWednesday, a weekly social media campaign and wellness-related presentation or training live-streamed via CSSJ FB or IG live once a month.

#WellnessWednesday is a space for current or interested members to gain healing resources, latest updates on our ACT efforts and collective care tools to implement at home.

Outlet: Facebook Live

THURSDAY

Details to come!

FRIDAY

Details to come!

SATURDAY

SURVIVORS SPEAK NATIONAL VIRTUAL CONFERENCE

CSSJ is partnering with The Well for Life, LLC, Dr. LaDonna Butler, chapter leaders, and survivors to launch #WellnessWednesday, a weekly social media campaign and wellness-related presentation or training live-streamed via CSSJ FB or IG live once a month.

#WellnessWednesday is a space for current or interested members to gain healing resources, latest updates on our ACT efforts and collective care tools to implement at home.

Outlet: Facebook Live

Registration will be locked after the deadline and no new paperwork will be accepted. If you missed your deadline, contact your chapter leader or the person who invited you.

Contact Us



1624 Franklin Avenue
11th Floor
Oakland, CA 94612

Tel: (510) 836-4700
Fax: (510) 836-4701