The National Human Trafficking and Disabilities Working Group Application for Organization Membership
Thank you for your interest in the National Human Trafficking and Disabilities Working Group! HTD Working Group Steering Committee reviews applications for membership on a rolling basis.
Please begin your application process by thoroughly reviewing the National Human Trafficking and Disabilities Working Group’s Membership Criteria and Membership Agreement. Both can be found at the following link:
http://iofa.org/national-trafficking-disabilities-working-group/
If you have any questions, please email us at
NHTDWG@iofa.org
. Thank you!
* Required
Email address
*
Your email
Organization Name:
*
Your answer
Address:
*
Your answer
Phone:
*
Your answer
Email:
*
Your answer
Website:
*
Your answer
Name(s) of contact(s) and titles:
*
Your answer
Please check the client community served by your organization (please check all that apply):
*
Adult Survivors of Sex and/or Labor Trafficking
Youth/Minor Survivors of Sex and/or Labor Trafficking
Sexual assault survivors
Domestic violence survivors
Sex workers
Children/Youth
Deaf adults
Deaf youth/minors
Adults with disabilities
Youth/minors with disabilities
Other:
Required
Please check the services your organization provides (please check all that apply):
*
Mental Health Services
Medical care
Employment counseling
Temporary shelters
Food
Clothing
Immigration services
Criminal law legal services
Civil law legal services
Language services - translation, interpretation and/or ESL training
Human rights
Worker/Labor rights
Case monitoring
Grant services/funding
Advocacy at local, state, and/or national levels
Research and/or analysis
Other:
Required
In addition to checking any applicable boxes above, please describe how your organization's work is relevant to the National Human Trafficking and Disabilities Working Group.
*
Your answer
What does your organization expect to gain from membership in the HTD Working Group?
*
Your answer
How might the NHTDWG benefit from your organization's membership?
*
Your answer
Is your organization able to contribute in-kind expertise to the NHTDWG, such as training, accessibility services, or informational resources?
Your answer
I would like to join the following Subcommittee(s). (Please mark all that apply.) You may go to the following link for a description of each Subcommittee:
http://iofa.org/national-trafficking-disabilities-working-group/
*
Communications and Outreach Subcommittee
Training Subcommittee
Data Collection Subcommitee
Youth Subcommittee
Required
Next
Page 1 of 2
Never submit passwords through Google Forms.
This form was created inside of IOFA.
Report Abuse
Forms
