Applicant Assistant Resources

Safe at Home relies on Applicant Assistants in the community to enroll participants into the program. This program can be a piece of an overall safety plan. Without Applicant Assistants (you) this program would not be able to exist.

An Applicant Assistant is an employee of an organization/agency that provides counseling and other services to victims of domestic violence, sexual assault, and stalking. Potential Applicant Assistants must complete the training (available online) and be recertified annually to ensure they understand the program and can thoroughly explain the benefits and responsibilities to applicants.

PROCESS: HOW YOU CAN BECOME AN APPLICANT ASSISTANT

• The Director of the organization/agency must complete an Enrolling Organization Registration Form. Upon acceptance, this will establish the organization as an entity that can enroll applicants into the program. It will also put them on the list (available on the website) of enrolling agents for potential applicants to contact.

• Employees of the Enrolling Agent must each complete an Applicant Assistant Registration Form. This form will also require the signature of the Director who signed the Enrolling Organization Registration Form. This will qualify employees to take the training online and the quiz to become Applicant Assistants.

• Both forms are available online. Print them, fill them out, sign them and send them to the Safe At Home Program Coordinator by mail. They can all be sent in together along with the training certificate of completion which Applicant Assistants will receive after going through the online training. They can also be sent separately. The Coordinator will contact the Director to verify organization affiliation.

• The training, which should take about 30 minutes, is a series of informational slides interspersed with quiz questions along the way.

• After completion of the training, the trainee will be able to complete and print a form to send to the Safe at Home Program Coordinator as proof of completion.

• The Coordinator will send confirmation of certification to the trainee. The employee will then be qualified to enroll participants in the program.

• Applicant Assistants are required, by law, to be recertified annually. The Program Coordinator will send a notice to the Organization asking if the Organization wants to continue to provide the service and which certified staff will continue to provide the service.

RESOURCES

The following resources can be accessed from this page:

 Registration for Training

• Enrolling Organization Registration Form (to become an Enrolling Organization, have your employees be eligible to become Applicant Assistants, and be listed on the website as a resource for victims to enroll in the program)
• Applicant Assistant Registration Form (to be qualified to take the training to become an Applicant Assistant to enroll victims in the program) Training (Before beginning the training module, print out the 3 forms below, in the Enrollment Resources section, to use as a reference.)

Training (Before beginning the training module, print out the 3 forms below, in the Enrollment Resources section, to use as a reference.)

• Training module

Enrollment Resources (Forms to enroll applicants in the program. Print them, fill them out, get required signatures and mail them to the Safe At Home Coordinator)

·        Address Confidentiality Program Application Form

·        Checklist of Applicant Responsibilities Form

·        Checklist of Co-Applicant Responsibilities Form  (for co-applicants over the age of 18)

CONTACT INFORMATION

To contact the Safe at Home Program Coordinator with any questions about the program, call 802-828-0586, or to e-mail, click here: safeathome@sec.state.vt.us  The mailing address is PO Box 1568, Montpelier, VT 05601.