Crime Victim Services Advisory Board Application for Membership

Crime Victim Services Advisory Board Application for Membership

Are you interested in serving on the Crime Victim Services Advisory Board? Apply now by providing your information on this application.
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Background
The Crime Victim Services Advisory Board is a 28-member board appointed by the Executive Director of the Colorado Department of Public Safety. The Board acts in an advisory capacity to the Department and the Division of Criminal Justice in making grant funding recommendations regarding State VALE, SASP, VAWA, and VOCA crime victim assistance projects.

The Board has two statutory subcommittees:
- The Victim Rights Act Subcommittee reviews reports of noncompliance with the Victim Rights Act.
- The Standards Subcommittee makes recommendations regarding revisions to, and compliance with, the Victim Compensation and Local Victim Assistance and Law Enforcement (Local VALE) Standards.
The Crime Victim Services Advisory Board is seeking applications for the following representatives:
- VALE Board Member Representative
- Ute Mountain Ute Tribal Member Representative
- Southern Ute Tribal Member Representative
The Crime Victim Services Advisory Board Terms are for three (3) years and are appointed by the Executive Director of the Department of Public Safety.

Anyone interested in applying including those who identify as a member or can represent a member of a minority population (e.g., rural or underserved communities, LGBTQ+ individuals, individuals living with disabilities, as well as those who identify their race/ethnicity as other than white) are encouraged to apply.
Instructions

The following is an application for membership on the Colorado Crime Victim Services Advisory Board. Before completing the application, please review the criteria that will be used to select someone to fill this position. This application must be completed by the individual seeking membership on the Board. For assistance with this application, please reach out to Kelly Kissell at kelly.kissell@state.co.us.
Personal Information
Name*

First NameLast Name
Primary Email*
example@example.com
Primary Phone Number*
Please enter a valid phone number.
Home Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Employment Information
Present Employer or Occupation
If applicable
Job Title/Role
If applicable
Work Email
example@example.com
Work Phone Number
Please enter a valid phone number.
Work Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Optional Information

Gender Identity and Race/Ethnicity
Gender Identity

FemaleMaleTransgenderNon-BinaryPrefer not to answer
If gender identity is not listed, please enter in box:
Gender Identity
Race/Ethnicity

American Indian or Alaska NativeAsianBlack or African AmericanHispanic or LatinoNative AmericanNative HawaiianPacific IslanderWhiteMixed RacePrefer not to answer
If race/ethnicity is not listed, please enter in box:
Race/Ethnicity
The Board has the following positions appointed by the executive director. Not all are vacant at this time.
- Judge
- Elected district attorney, assistant district attorney, or a chief deputy district attorney
- Member of a crime victim compensation board
- Member of a local victims and witnesses assistance and law enforcement board
- Administrator of crime victim compensation from a district attorney’s office
- Administrator of victims and witnesses assistance from a district attorney’s office
- Representative of a statewide victims’ organization
- Judicial district administrator or judicial district representative
- Representative of a domestic violence program
- Representative of a sexual assault program
- Sheriff or sheriff’s representative
- Police chief or police representative
- Deputy district attorney
- Victim of a crime of violence
- Three members of the community at large
- Crimes Against Children Program Representative
- Culturally Specific Organization Representative
- Ute Mountain Ute Tribal Member Representative
- Southern Ute Tribal Member Representative
- Post-sentencing Criminal Justice Agency Representative
- Statewide Expert in Victim Issues & Services Representative
Please identify which position you are applying for:*

JudgeElected district attorney, assistant district attorney, or a chief deputy district attorneyMember of a crime victim compensation boardMember of a local victims and witnesses assistance and law enforcement boardAdministrator of crime victim compensation from a district attorney’s officeAdministrator of victims and witnesses assistance from a district attorney’s officeRepresentative of a statewide victims’ organizationJudicial district administrator or judicial district representativeRepresentative of a domestic violence programRepresentative of a sexual assault programSheriff or sheriff's representativePolice chief or police representativeDeputy district attorneySurvivor/Victim RepresentativeCommunity memberCrimes Against Children Program RepresentativeCulturally Specific Organization RepresentativeUte Mountain Ute Tribal Member RepresentativeSouthern Ute Tribal Member RepresentativePost-sentencing Criminal Justice Agency RepresentativeStatewide Expert in Victim Issues & Services Representative
Education
What is the highest level of education you have completed?

CollegeGraduate StudiesTrade/Business SchoolNot Applicable
Institution Name
Name of School (If Applicable)
Program Name
Major Course of Study (If Applicable)
College
College/University Name
Name of School
Major
Major Course of Study
Did you graduate?

YesNoPending
Graduate Studies
Institution Name
Name of School
Program Name
Major Course of Study
Did you graduate?

YesNoPending
Trade/Business/Correspondence
Institution Name
Name of School
Program Name
Major Course of Study
Did you graduate?

YesNoPending
General Qualifications
Memberships in Professional Organizations or Boards You have Served On
Name of organization or Board
Is this a current position or one you served in the past?

Current positionPast position
Name of organization or Board
Is this a current position or one you served in the past?

Current positionPast position
Name of organization or Board
Is this a current position or one you served in the past?

Current positionPast position
Special Skills and Qualifications
Share your special skills and qualifications
Identify any lived experience, relevant education, special skills, qualifications, and professional expertise including the number of years of experience with issues related to crime victim services. Explain how this experience will be helpful on the Crime Victim Services Advisory Board?*
If applying on behalf of a county, organization, group, agency, or other affiliation, I have discussed this application with my supervisor or my group's leadership and they are aware of and supportive of my application.*

YesNoNot applying on behalf of a county, organization, group, agency, or other affiliation
Application Questions
Why do you want to serve on the Crime Victim Services Advisory Board?*
Please review the Board’s duties:
- To develop and revise, when necessary, standards for the administration of the crime victim compensation fund and to develop, revise when necessary, and impose sanctions for violating these standards
- To review any reports of noncompliance
- To distribute profits from crime
- To advise and make recommendations to the division of criminal justice in the department of public safety concerning the award of grants
- To establish subcommittees of the advisory board from within the membership of the advisory board including but need not be limited to:
  - a standards subcommittee that shall make recommendations to the advisory board concerning the development and revision, when necessary, of standards and sanctions
  - a victim rights subcommittee that shall review any reports of noncompliance
Do you have any concerns with the duties previously outlined?*

YesNo
If yes, please explain further:
Concerns regarding Board's duties
Are you able to attend the Crime Victim Services Advisory Board meetings in person and meet the expectations required of membership to the Board?*

YesNo
Is there anything in your background that might be a concern to the Governor or to you if it were to become public?*

YesNo
If yes, please explain:
Explanation of background that might be a concern to the Governor or to you if it were to become public
References

Provide references from two persons, not related to you, who have known you for at least one year
Reference 1

Please enter contact information for your first reference. (Required)
Name*

First NameLast Name
Email*
example@example.com
Phone Number*
Please enter a valid phone number.
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Reference 2

Please enter contact information for your second reference. (Required)
Name*

First NameLast Name
Email*
example@example.com
Phone Number*
Please enter a valid phone number.
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Supplemental Attachments
Upload your Resume Here

Please attach a current resume.
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By signing below, you certify that the facts contained in this application are true and correct to the best of your knowledge.

You authorize the investigation of all statements contained herein and the references listed above to obtain any and all pertinent information, personal and otherwise.

You release all parties for all liability for any damage that may result from furnishing such information.

You understand the Colorado Open Records Act may require that certain information contained in this application be available for inspection by the public.
Signature

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Date

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Date
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Crime Victim Services Advisory Board Application for Membership

Background

Instructions

Personal Information

Employment Information

Optional Information

Education

College

Graduate Studies

Trade/Business/Correspondence

General Qualifications

Memberships in Professional Organizations or Boards You have Served On

Special Skills and Qualifications

Application Questions

References

Reference 1

Reference 2

Supplemental Attachments