Community Outreach Request

If you are interested in having someone from Safe Harbor come and speak to your group or staff a table at your community event, please complete the following request form. Someone will be back in touch with you as soon as possible.   Please submit this form at least 2 weeks before your event to allow us to find a staff member or volunteer to represent Safe Harbor at your event. We look forward to working with you!

Name of Group:*
Contact Name:*
First Last
Contact Phone Number:*
Contact Email:*
Type of Event:*
Will this event be in-person, virtual, or other?*
Location of Event*
Street Address City State / Province / Region ZIP / Postal Code Country
Date of Event*
Start Time of Event*

: HH

MM
End Time of Event*

: HH

MM
Please provide a description of your event:*
Estimated number of participants:*
Who is the audience? (youth, college, adult, professionals, faith-based, community, etc.)*
Topics you are looking to have covered:*
- Domestic Violence
- Sexual Violence
- Human Trafficking
- Healthy Relationships
- How To Help A Friend Or Coworker
- Safe Harbor Services
- Other
*you may select more than one
How does Safe Harbor fit into the goals of your event?*
Will in-kind goods be donated?
Will a financial gift be donated?
Any other information that you think we may need to know:

If you have questions, please call 804-249-9470.

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Testimonials

Great experience and gained great amount of knowledge. Since this is so prevalent in today's society it is best to have the most information possible.

“I learned that I am as strong as I think I am, and that I am definitely a survivor.”
- T, domestic violence survivor

“Both my child and I have received counseling that has added to the quality of our life. I know that I am not alone, and that has made me a better parent.”
- I, domestic violence survivor

“I feel so fortunate to have found a program like Safe Harbor. I was greeted with smiles, a calming presence, and a place to heal and rebuild my life.Thank you!”
-M., domestic violence survivor

“Safe Harbor helped me to get a preliminary protective order against my abuser. Their services and support helped me to navigate the court system and feel more confident. I am very grateful for these resources and to know that I was not alone during this process.”
- M, domestic violence survivor

“It was very nice to have someone there to give me support while I was going through the process. She was very helpful and kind. I did not know that people like that existed anymore.”
- Survivor quote