Organizational Membership Application
Please fill out this application for membership to be reviewed by the NCCAHT board! Once you receive communications from nccaht@gmail.com on whether you qualify for membership you will be sent information on the annual dues. 
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Email *
Organization name *
Organization address *
Organization phone number *
Organization's designated voter (name and email) *
Which level of organizational membership are you seeking to apply for?  *
Name and email of additional staff/ board members that would like to receive communications from NCCAHT on member events, newsletters, etc. based on the level of membership. 
(1) Up to five staff contacts in NCCAHT database
(2) Up to 10 staff contacts in NCCAHT database
(3) Up to 20 staff contacts in NCCAHT database
(4) Up to 50 staff contacts in NCCAHT database
 *
How knowledgeable is the applicant about human trafficking?  *
Not at all knowledgeable
Highly knowledgeable
Is this applicant looking to provide training or be trained? 
Clear selection
Select all the types of geographic areas that the applicant services/ works. 
In the field below please explain: 
1. Your interest in joining NCCAHT 
2. How you plan to contribute to the organization?
3. How your organization is already involved in the field of anti-trafficking? 

This can be answered in bullet points or paragraphs, whichever is easiest for you! 
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