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Foundations Program

Referral Form

Thank you for taking the time to refer your client to the Brazen Table virtual program. We look forward to reviewing their application and your referral form.

Brazen Table - Foundations Participant Referral Form

Date *

Agency Name *

Contact Name *

Contact Title *

Email Address *

Phone *

Address *

Address

Address

Address

City

City

State/Province

State/Province

Zip/Postal

Zip/Postal

Name of Client Being Referred *

Check off any circumstances (past or present) experienced by this client:

Sex trafficking or exploitation

Past

Present

Labor trafficking or exploitation

Past

Present

Gaps in education

Past

Present

Domestic Violence

Past

Present

Criminal history

Past

Present

Unstable housing/Homelessness

Past

Present

Loss or lack of employment

Past

Present

Loss or lack of transportation

Past

Present

Poverty

Past

Present

Drug or alcohol abuse

Past

Present

Food insecurity

Past

Present

Lack of child care

Past

Present

If this client was involved in sex trafficking, to your best knowledge, does this client maintain ties to anyone they know/knew in "the life?" *

Yes

No

N/A

How long have you been working with this client? *

Are there any services your client is currently or in the past has utilized at your agency? *

Please verify that your client meets the following criteria: *

Over the age of 18 at the start of programming

Exhibits high risk factors for trafficking or exploitation, has been trafficked in the past, or has high barriers to employment

Has a positive history with referring agency and demonstrates a commitment to personal growth

Has an ongoing relationship with a case manager at the referring agency and will continue with services throughout the duration of each phase

The ability to commit to once a week virtual check-ins

Has reliable internet access and a personal or shared computer (laptop/desktop/tablet) that can be used for the duration of the programming

Has access to a device that can record (video and photos) of assignments (ex. phone with camera, digital camera, tablet with webcam)

Has access to a kitchen with basic requirements: oven, stove, refrigerator, and sink

Proficiency in spoken and written English communication

Proficient in reading comprehension at a 3rd grade level or higher

Proficient in math at a 3rd grade level or higher

Has a desire to learn about basic culinary arts and food service/hospitality

What is your availability to set up a time to discuss your clients fit for our program? *

Signature

If you are human, leave this field blank.

Δ

Nov 29

Nov 11

Making big progress! Our official open date in Lindale Park remains a moving target. Our team is beyond excited and working so hard to open as quickly as possible. Your support is critical! Here’s how you can help:

✔️ make sure you’re signed up for our newsletter and follow along on social media
✔️ make a donation today - every dollar is being used to pay our hardworking staff while we are not open
✔️use A 2nd Cup for any food or beverage catering needs you have! We are able to accommodate orders in this time, check out our website for menu and details!

Nov 7

So many of you have kindly asked how things are going as we transition to our new location, so here’s a little teaser for you! We are still working on permits for the new space, and will announce a grand opening date as soon as we can.

We hope to move quickly so we can return our focus to educating, partnering, and providing in the fight to end human trafficking.

In the meantime, your support is critical. A $5 monthly donation is enough to find 4 weeks of transportation for a participant in our job training programs. Would you consider giving today? Text TILEVERYONEISFREE to 44-321 to help carry us through this season!

Nov 6

We had so much fun partnering with @shopemersonrose for their holiday season kick off, and celebrating the launch of our Giving Trees all over 19th St this year! Keep an eye out for more to come in that.

// did you know we offer custom beverage catering? From hot cocoa to drip coffee, to our full service espresso machine - you can enjoy A 2nd Cup’s coffee and handcrafted syrups knowing that your dollars support the vital work of ending human trafficking in Houston. Contact us via our website with questions! ☕️

Nov 2

Yes know it's not yet Thanksgiving, and this is Christmas content...don't come for us ⁠
⁠
but we can't help it, because we are so pumped to be partnering with @shopemersonrose this year to launch our Annual Give Hope event, featuring our Giving Tree! We are beyond excited to have some incredible partners hosting our trees, allowing you to make a gift directly to a survivor of trafficking. Join us TOMORROW at Emerson Rose Heights for this special event.⁠
⁠
Nov 3 // 5 - 9 pm⁠
350 - 365 W 19th Street⁠
- first look at Christmas⁠
- photos with Santa⁠
- East Ciders, Espresso + Hot Cocoa bar provided by us!⁠
- launch of our Giving Tree⁠
⁠
Thank you to @shopemersonrose @circarealestate @steeldoorrealty @thenowmassage @jubileeintheheights

Nov 2

We are so excited and honored to be highlighted at this super creative and innovative digital art event! @new.found.trade is the new way to customize, collect, and trade digital art.⁠
⁠
Check out their launch tomorrow night at The Forum - and special thanks to artist @joe_ryba for finding an incredibly dynamic way to engage in the fight against human trafficking. All are welcome, so make plans to join us!

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