Part 4, DVOTI Group Facilitator Information:

The Program Features section (Part 4) collects information on the domestic violence facility’s group facilitators, education, and professional certifications and or licensures. Please fill out as much information as possible, and be sure this documentation is included within the PDF documents you will upload in Part 2. If you have any questions, or need assistance, please email us at DVOTI.Program@state.nm.us.

****IMPORTANT: You will have an opportunity to submit additional facilitator information after the first time you click the submit button. When you get the ‘thank you’ confirmation page, please click the link to return to Part 4 to add and submit additional group facilitators and their information. Be sure to include the domestic violence facility’s tax id for each group facilitator.

DVOTI Form Part 4 of 4

Complete this part once for each Staff Member.