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Step 1:	please verify your contact information
Name(s):	Cynthia Coburn, Director of Community Services
Phone:
Email:
Step 2:	enter only the information that you want to change
	(in the column called "New Value")
	then click Submit (at bottom of page)

Field	Old Value	New Value
Organization	Blackstone Valley Advocacy Center	Blackstone Valley Advocacy Center
Program	Community Awareness Programs	Community Awareness Programs
Address	PO Box 5643 Pawtucket, RI 02862
Category 1	Violence Prevention Education	No Change Advocacy/Public Awareness Alternative High School Crisis Intervention Faith Based Mentoring Counseling/Mental Health Other Prevention Education Outreach Resource Center Substance Abuse Treatment & Interventions After School Programs Shelter/Transitional Housing Training Violence Prevention Education
Category 2	Advocacy/Public Awareness	No Change Advocacy/Public Awareness Alternative High School Crisis Intervention Faith Based Mentoring Counseling/Mental Health Other Prevention Education Outreach Resource Center Substance Abuse Treatment & Interventions After School Programs Shelter/Transitional Housing Training Violence Prevention Education
Description	Our Community Awareness Program is designed to provide awareness, prevention education and professional training on the issue of domestic violence.
Program Open To	students, professionals, adults, general audiences
Fax	724-8820
TDD
This program is delivered/provided at the following site(s):
Sites	Elementary Schools Middle Schools High Schools Community-based organizations	Check all that apply: Elementary Schools Middle Schools High Schools Community-based organizations On-Site(s) where program is located Other:
This program is for the following age groups:
Ages	6-10, 11-13, 14-17, 18-25, Adults, Elderly	Check all that apply: 0-5  6-10  11-13  14-17  18-25  Adults  Elderly  Other:
This program is provided in the following language(s):
Language(s)	English spanish	Check all that apply: English  Spanish  Other:
Comments	Use this space for any additional comments you may have.

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