Care Package Program Join our Care Package Program and receive free care packages each month this year. First Name: First Name Required Last Name: Last Name Required Instagram handle: Instagram handle is not valid How did you hear about the Care Package Program:* How did you hear about the Care Package Program is Required I am:* I am is Required Currently in the adult entertainment/sex industry Somewhere in between Exited from the adult entertainment/sex industry How long were you/have you been in the life:* How long were you/have you been in the life is Required Less than one year 1 year 2-4 years 5-6 years 6-8 years 8-10 years More than 10 years At what age did you enter the life:* At what age did you enter the life is Required Under 18 18-21 Years old 22-29 years old 30-39 years old 40+ years old If you are still in the adult entertainment industry and plan to leave:* If you are still in the adult entertainment industry and plan to leave is Required I plan to leave in the next 2-4 years I plan to leave in the next year I have a plan, but I am not sure how long it will take I would like to, but I do not know where to start I am not currently planning to leave In regard to Pimps/Mangers/Madames/Traffickers:* In regard to Pimps/Mangers/Madames/Traffickers is Required I currently have one I used to have one I have never had one In regard to children:* In regard to children is Required I have children who currently live with me I have never had children I have children but they moved out/ do not live with me/ do not have custody In regard to religion/faith:* In regard to religion/faith is Required I identify with Christianity (Catholic, Protestant, Evangelical, Methodist, etc) I identify with Islam I identify with Judaism I identify as more spiritual than religious In regard to age, I am:* In regard to age, I am is Required 18-24 25-30 31-35 36-40 41-45 45+ In regard to Racial/Ethnic Identity (Check all that apply):* In regard to Racial/Ethnic Identity (Check all that apply) is Required Black/African American White/Caucasian Hispanic/Latinx Native American Asian/Pacific Islander Other My pronouns are:* My pronouns are is Required She/Her/Hers He/Him/His They/Them/Theirs Other In regard to education:* In regard to education is Required I am currently enrolled in a trade school certificate program I am currently enrolled in a university I am currently enrolled in a GED/HS diploma program I am currently enrolled in community college I am not currently attending any form of formal education In regard to your highest level of education:* In regard to your highest level of education is Required I attained a HS diploma/GED I attained a AA degree I attained a trade certificate I have some college credits, but did not graduate I attained a BS/BA degree I attained a graduate degree I am interested in continuing my education:* I am interested in continuing my education is Required Yes No Maybe I feel confident in managing my money (on a scale of 1-5, with 5 being the most confident):* I feel confident in managing my money (on a scale of 1-5, with 5 being the most confident) is Required 1 - I feel very uncertain managing my money 2 - I feel somewhat uncertain about managing my money 3 - I feel neutral, neither uncertain nor confident 4 - I feel somewhat confident in managing my money 5 - I feel very confident in managing my money I am interested in the following professional development (check all that apply) :* I am interested in the following professional development (check all that apply) is Required Continuing my education / Attending College Connecting with services in my community Having a mentor Starting a Business Accessing legal assistance Finding a job Attending a support group for women in the life Improving Financial Literacy Consulting with the anti-trafficking industry I am interested in interviews and surveys to share my lived experiences:* I am interested in interviews and surveys to share my lived experiences is Required Yes, but only paid opportunities Yes, paid or volunteer No What is one goal you have for the upcoming year:* What is one goal you have for the upcoming year is Required Delivery Address (where we should send your care packages):* Delivery Address (where we should send your care packages) is Required Delivery City:* Delivery City is Required Delivery State:* Delivery State is Required Delivery Zip:* Delivery Zip is Required Username:* Invalid Username Email:* Invalid Email Password:* Invalid Password Password Confirmation:* Password Confirmation Doesn't Match No val Please fix the errors above