Confidential

Connect with a peer support volunteer

Tell us a little about yourself and how we can reach you safely. A member of our network will follow up and match you with a volunteer who understands your situation.

If you need help right now

This form is not monitored around the clock and is not for emergencies. If you are in immediate danger, call 911. To talk with a trained advocate any time, call the National Domestic Violence Hotline at 1-800-799-7233 or text START to 88788.

Your privacy

Please share only what feels safe to share. Tell us the best and safest way to reach you, and we'll respect it. You can leave any field blank.

What may we call you? *

Email (if safe to use)

Phone (if safe to use)

Safest way and time to reach you

County you live or work in (helps us match you)

Are you connected to any of these roles? (optional)

What are you hoping for? (check any that apply)

Peer support, someone who gets it Help thinking through safety planning Information about a restraining order or Change of Venue Posters or other materials I'm an advocate interested in volunteering with the network Not sure yet, I just want to connect

Anything you'd like us to know? (optional)

It is safe for the network to contact me using the information above. *