Rape Aggression Defense Program Application

Registration Information

Address/Title:

Full Name:

University Affiliation:

Hokie Passport #:

Email:

Local Address:

Permanent or Office Address:

Local Phone:

Permanent or Office Phone:

Mobile Phone:

The sessions are at the following dates and times:

Request Session:

Class 1:

Session I: September 4 from 6:30-9:30 p.m.
Session II: September 11 from 6:30-9:30 p.m.
Session III: September 18 from 6:30-9:30 p.m.
Session IV: September 25 from 6:30-9:30 p.m.

Class 2:

Session I: October 20 from 5-8 p.m.
Session II: October 27 from 5-8 p.m.
Session III: November 3 from 5-8 p.m.
Session IV: November 10 from 5-8 p.m.

All four sessions must be attended.