Thank you for your interest in joining the Healthcare Committee. The goal of the Committee is to raise awareness and provide education for healthcare providers in order to ensure that human trafficking survivors are recognized, referred and receive appropriate treatment. The Healthcare Committee typically meets bi-monthly via conference call. In order to best serve your interest, please complete the following survey. Please allow 2 to 3 days for a response. Thank you for your interest.
Please complete the form to make your application.
Describe your educational background. If you are a student, please identify your grade level and current school or university.
State your professional title.
State your organization of employment.
Have you been/are you currently involved with anti-human trafficking efforts? If so, briefly explain.
Identify areas of the Healthcare Committee in which you are most interested.
Select your desired level of involvement. I am available:
Once per week
Once every two weeks
Once per month
Once every other month
By phone only
Currently not sure
What do you hope to achieve from serving on the healthcare committee?
A copy of your responses will be emailed to the address you provided.
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