Apply for Rebecca's Group Name Email Address Phone Number Zip Code What days work best for you? What days work best for you? Monday Tuesday Wednesday Thursday Friday Any Day What time of day works best for you? What time of day works best for you? Mornings Afternoons Evenings Anytime Would you prefer to meet in-person or virtually? Would you prefer to meet in-person or virtually? I'd much rather meet in-person Virtual meetings are cool I'm down for both! What age group are you in? What age group are you in? 18 - 25 26 - 40 40 and up Do you have access to reliable transportation? Do you have access to reliable transportation? Yes, I have my own vehicle Yes, someone in my safe circle gives me rides I take public transportation No, I do not have my own vehicle or access to transportation Do you identify with any of the following? Do you identify with any of the following? Survivor / Overcomer of sex trafficking Survivor / Overcomer of commercial sexual exploitation None of the above How did you hear about the group? If you were to pick a color that describes you, what would it be? 4 + 2 = Submit
