Name *

First Name

Last Name

Phone *

(###)

###

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How would you describe your knowledge when it comes to human trafficking? *

None

Moderate

High

What is your desired involvement with this ministry? *

Street Outreach

Preparing Meals

Prayer Team

Speaking

Fundraising

Administrative Tasks

If you are interested in Street Outreach, are you able to make a commitment to participate at least once a month for three months?

Yes

No

Do you understand the importance of confidentiality within the ministry? *

Yes

No

Have you ever been convicted of a felony? *

Yes

No