Please indicate that you made a good faith effort to understand our focus and approach to human trafficking explained in the preceding links. *

Yes, I reviewed the information.

No, I did not review the information.

I did not understand the material that was presented.

Please enter information for your organization's primary point of contact, or the person to whom future messages should be directed. *

First Name

Last Name

Direct Phone Number *

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####

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Tax ID Status *

For-Profit

Non-Profit (you will be asked to provide a copy of your IRS determination letter.)

I don't know

Other

Type of Organization *

Please check the option that best describes your organization's type.

Community-Based Group

Non-Profit/NGO

Faith-Based Group

Educational Institution

Business

Council, Association, or Task Force

Child Welfare

Law Enforcement

Other

How many years of experience does your organization have in fighting human trafficking? *

Less than 1 year

1-4 years

5-9 years

10+ years

Your Organization's Capacity

Please identify what resources your organization already has access to in order to meet the goals you identified.

Staff

Volunteers

Resources to Distribute

Dedicated Funds

Event Location

Partnership(s) with Local Organization(s)

Other

Your Trafficking Focus of Concern

Sex Trafficking

Labor Trafficking

Both Sex and Labor Trafficking

Other