Resource Collection

What's your organization/company name? (required)

Please enter a valid organization/company name.

What's your organization/company legal name if different from above?

Please enter a valid organization/company name.

Does your organization have a 501(c) status? (required)

Yes

Please select whether your organization has a 501(c) status.

Please provide a survivor-facing summary of how your organization provides support: (required)
This tweet-length summary (280 characters) will be used verbatim on the 'me too.' website to provide additional information on your organization and its resources.

280 characters

Please provide a survivor-facing summary of how your organization provides support.

How would you describe the organizational footprint of your operations? (required)

Please select your organizational footprint.

What is the address for your organization's headquarters or corporate office?
Please enter the primary mailing address for your organization.

Organization Address: Line 1 (required)

Please enter a valid address.

Organization Address: Line 2

Please enter a valid address.

City (required)

Please enter a valid city.

State (required)

Please select a state.

Zip (required)

Please enter a zip code.

This address is open to the public and services our clientele.

This facility is ADA compliant.

+ Add another location

Please only add additional locations that are open to and service your clientele.

What is your main business phone number? (required)
Please enter the main administrative phone number for the organization. Numbers only, no dashes

Please enter a valid phone number.

Make this phone number available to the public.

What is your public-facing phone number?
Numbers only, no dashes

Please enter a valid phone number.

What is your organizations main URL?
Please indicate the page you wish all vistors to arrive on.

Please enter a valid URL using http:// or https://

To whom are your organization's programs and services directed? (required)

Select all that apply:

Survivors

Allies
(friends & family supporting survivors)

Support Workers
(those engaged in the field)

Advocates
(those engaged activism against sexual violence)

Please select to whom are your organization's programs and services are directed.

Which age groups does your organization serve? (required)

Select all that apply:

Children (0-14)

Youth (15-24)

Adults (25-64)

Seniors (65+)

Please select what age groups your organization serves.

Does your organization provide specialized services for ability-specific communities?

Select all that apply:

ADA Compliant

Chronic Illness

Hearing Impaired

Mental Health

Neurodiversity

Physical Disability

Vision Impaired

Does your organization provide specialized services for LGBTQIA+ communities?

Select all that apply:

Asexual

Bisexual

Gay

Heterosexual

Homosexual

Lesbian

Pansexual

Poly-amorous

Queer