Refer a Friend
If you know of a Greek Woman in need, please fill out as much information as you are willing to share. One of our ambassadors will get in touch with them to provide resources and guide them through this tough time. All information shared is optional, but please try to provide a form of communication and a name of the woman in need. Thank you for keeping our community safe and for empowering the women around you. Everything reported on this form will remain confidential and private.
Name of woman in need:
Your answer
Contact information of woman in need (most frequently used email preferred):
Your answer
What concerns do you have regarding this woman?
Your answer
Additional Comments:
Your answer
I would like to be involved in the healing process of this woman
I would also like to receive personal support from SSA
My Name (Optional)
Your answer
My Contact Information (most frequently used email preferred)
Your answer
Should the women in need not respond, do you allow SSA to contact you for further information and guidance.
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