FAX BACK

Request for Additional Information

The National Institute for the

Prevention of Workplace Violence

Voice 949-770-5264

Fax 949-597-0977

E-Mail WBNixon@aol.com

Your Name:
Company Name:
Telephone Number:
E-Mail:
Best Time to Contact You:

I am interested in the following:

___  a Workplace Violence Presentation for my organization

     a Workplace Violence train the trainer program

_   a meeting to determine my level of need   

___  a Workplace Violence Vulnerability Assessment    

     copies of the Workplace Violence Booklet @ $ 1.25 a copy

___  Effective Interview Questions to Screen for potential violent tendencies and/or poor conflict resolution skills @ $20.00 a  copy

___  a Free copy of factors common to organizations in which violence either has occurred or is likely to occur

___ Free assessment of your "Zero Tolerance" policy and implementation process

___ More information on Organization Violence Prevention Assessment

___ More information on Facility Risk Assessment

___ More information on Individual Threat Assessment