HTTF Point of Contact Form
The Task Force serves to implement the continuum of care to address human trafficking in the Tri-County area.
Toward this end, this form serves as our consistent records intake.
Please take 2-3 minutes to complete the form.
Please understand your information will be shared with Task Force Leadership.
For any questions, email Brooke Burris at: bburris@tricountyhttf.org
Date
MM
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Agency Name *
Agency Website
Agency Phone
Primary Agency Address *
Name (First Last) *
Title/Position *
Email *
Phone (primary, secondary) *
Jurisdiction(s) in which you serve *
Task Force Subcommittee *
HT Continuum of Care Response (created by the S.C. Attorney General)
Which aspects of the Continuum of Care are relevant to your role? (check all that apply) *
Required
Other Role(s)
What services does your organization provide?
Hours services are available?
How are services accessed?
Professional Category (choose best option) *
If other or more than 1 professional category, please specify:
What you can do! *
Required
Volunteer/Donate/Other? (please list below what you can volunteer/donate/other to support survivors and Task Force Members - be as specific as possible: your time, your skillset, type of law you practice, funds, type of therapy you provide, etc.)
THANK YOU! This information is enormously helpful! Thank you for what you do and for your heart for this issue! Please add any comments / feedback below:
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