Lift Clinical Intensive

Clinical Intensive Application

Apply below to join a cohort of agencies for a one-year, in-depth customized training opportunity. We will help you strengthen and tailor your clinical program to meet the unique needs of survivors.

What type of programming do you currently or are you planning to provide?(Required)
Tell us about the population you serve (or plan to serve). Select all that apply(Required)
Are you already serving survivors of trafficking? If yes, approximately how many survivors have you served in the life of your organization? How many years have you actively served survivors? What knowledge level would you indicate you have about the issues of human trafficking and exploitation?(Required)
Is your organization contracted with or do you plan to contract with your State’s Child Welfare Department?(Required)
Are you a nonprofit?(Required)
  • Submit organizational structure including notations of which roles are already filled.
  • Submit Financials that are available (documents being unavailable does not necessarily rule out Clinical Intensive)
  • Current year budget
  • Prior Year budget vs actuals
  • Financial Review or Audit if one has been completed
  • 990 for the most recent year that one was filed
  • If your program is in the start-up phase, explain what funding has already been secured.
  • Submit Strategic Plan (if one has been developed)
  • Please provide three letters of reference from community partners and/or donors.
  • Drop files here or
    Max. file size: 100 MB.