HTTF Point of Contact Form

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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

YYYY

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 *

Awareness/Prevention

Research & Data

Law Enforcement

Legal Innovations

Child Services

Adult Services

Healthcare

Community & Faith-Based

General Listserve

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) *

Identify the Incident/Victim (i.e., screening and referrals, mandated reporters)

Rapid Response (i.e., crisis coordination)

Acute Care (i.e., intake, safety planning, shelter, crisis medical care/exams)

Court and Legal Procedures (i.e., criminal and civil legal systems, access to justice, legislation)

Housing (i.e., transitional and long term housing, foster care, restorative care)

Transition Support (i.e., rental / documentation / benefits assistance)

Community Based Services (i.e., specialized or general ongoing support)

Other (specify your role below)

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! *

Serve as a Point of Contact for the Continuum of Care Response

Attend Subcommittee and Task Force Meetings as practicable

Donate/Volunteer (specify below)

Other:

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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