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Eligibility Form

Welcome to the first step in your healing journey. We’re truly grateful you’ve found your way here.
Please complete the form below to get started. If it turns out that our programs aren’t the right fit for you at this time, we’ve gathered additional resources to help guide and support you on your continued path toward healing and hope.

Survivor Ventures provides tailored support for survivors of human trafficking and exploitation. Complete this brief eligibility check to see if our services are the right fit for you. If eligible, our team will follow up with next steps. If not, you’ll be provided with additional support resources.

Do you need translation assistance?
Have you done any work for someone or participated in any activities including sexual acts without receiving the payment you thought you would receive (even if under 18)?
Was this work done at any of the following locations (check all that apply):
Has anyone ever withheld payment from you?
Has anyone ever controlled the payment you should have been paid or set your prices for you?
Have you ever had to have sex or perform sexual acts for things of value (i.e. money, rides/gifts, favors, shelter, food, drugs?)

(757) 317-0352

 259 Granby Street, #250

Norfolk VA 23510

112 S. French Street

Wilmington DE 19801

44679 Endicott Drive, #300

Ashburn VA 20147

4259 Henderson Blvd Tampa, FL 33629 
 

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