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Share Your Story
Thank you for sharing your experience with Holly's House to help us promote our work and create a better understanding of our services.
Please note: This form should not be used if you were dissatisfied with the services you received. If you would like to submit a concern about the quality of services provided, please contact the
Holly's House Executive Director
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When I worked with Holly's House, I was...
being interviewed as the victim of or witness to a crime.
the family member, parent, or support person for someone being interviewed
seeking information or assistance regarding child abuse
seeking information or assistance regarding domestic or relationship violence
seeking information or assistance regarding sexual violence
a participant in the "Think First & Stay Safe" child abuse prevention program
the parent or family member of a student who participated in the "Think First & Stay Safe" child abuse prevention program
an employee of another agency that partners with Holly's House
Please write a few sentences regarding your experiences working with Holly's House, and/or how the services you received through Holly's House impacted your future.
Permission to Use Testimonial Statement or Comments
By signing or typing my name below, I give my written permission to Holly's House, Inc to use the testimonial or comments submitted for their advertising, public awareness, or communication with donors and other funding sources, without any consideration paid to me, my family, or my heirs.
I also acknowledge my understanding that Holly's House may use all or a portion of my comments in their publicity, public awareness, and fundraising efforts. I have agreed to the following conditions relating to the use of my comments:
Please select all that apply.
My name or other information that may identify me will not be used without my express permission.
My comments may be edited as needed and used without my prior review or approval.
If you would like to review any edits to your comments or if you are open to requests to use identifying information, please provide contact information below. If you choose not to complete this section, we will assume you prefer to remain anonymous.
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Would you like to be added to our mailing database?
If you select this option, you may receive information about agency events, solicitations for donations, and newsletters or printed updates about our services.
Holly's House, Inc. | P.O. Box 4125, Evansville, IN 47724
Phone: 812-437-7233 | Fax: 812-437-7241