Yearly Survivor Retreat Application

The "Journey of Grace" Human Trafficking Survivor Retreat is held several times a year for women 18 years of age and older who have been trafficked in the United States, been 'out of the life' for at least two years and who are not currently in any residential program for trafficking or addiction. 

This retreat is the Next Step in the journey of grace. The retreat is ideal for those who want to become not just survivors, but Thrivers and have already done hard work to heal. It is for those who need a little boost in their healing, who want to develop supportive relationships with other survivors and mentors and who are willing to work a little and love a lot. 

The weekend is a combination of letting go, having fun and laughing, working hard on your inner self and working through triggers. There are massages, hair cuts and make overs, as well as classes on releasing your anger and forgiveness, nutrition, self defense and how to tell your story as well as group exercises on building trust. Each retreat is different and focuses on a different part of healing. 

The weekend is totally FREE but dependent upon our funding. If you aren't selected this time, we hope you will apply again. Space is limited. 

The location is in a safe place and everything is included. If you live far, we will also try to get you to the retreat for free as well. If you are accepted, please note that you will receive a group email along with the other survivors who will be attending. If you need your information to remain private, please let us know. 
New 2019 & 2020: We are partnering with F.R.E.E., a program of the University of Toledo Human Trafficking and Social Justice Institute. They will be offering career assessment, scholarships and are assisting us to have more retreats each year. If you are interested in a financial funding for advancing your career, starting a new one this is your gateway to a new future. 

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* 1. Applicant Information 

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* 2. What is your age?

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* 3. What city would you fly out of? (if applicable)

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* 4. What is the highest level of school you have completed or the highest degree you have received?

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* 5. Which of the following categories best describes your employment status?

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* 6. Would you like to apply for the Educational/Scholarship program? 

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* 7. What would your dream job be? 

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* 8. How much total combined money did all members of your HOUSEHOLD earn last year?

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* 9. Do you identify with any of the following religions? (Please select all that apply.)

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* 10. In general, how would you rate your overall health?

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* 11. How long has it been since your most recent visit with your healthcare provider?

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* 12. Do you currently have health insurance, or not?

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* 13. Do you currently smoke cigarettes, or not?

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* 14. How many hours do you sleep each night?

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* 15. Do you have any dietary restrictions? If so what are they? 

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* 16. Do you have any allergies? If so, what? 

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* 17. In general, how would you rate your overall mental or emotional health?

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* 18. Do you have any physical injuries or disabilities? If so, do you need assistance? 

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* 19. Have you been in a recovery program? If so when and what type? 

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* 20. What medications are you currently taking?

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* 21. Why do you want to attend the retreat? What do you hope to get out of it? 

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* 22. Tell us about your story- being trafficked. Please tell us as much as you can so we can get to know you better. Not filling this out completely will eliminate your chances to attend the retreat. This will be the ONLY time you are asked to share this.

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* 23. what are your triggers? (if you know) How do you handle them? 

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* 24. Are you in counseling? If so, what type and how often? 

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* 25. Who are your support people?

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* 26. Reference #1

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* 27. Reference #2

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