Individual & Student Membership Application
Please fill out for review 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 *
Name  *
Mailing address *
Phone number *
How knowledgeable is the applicant about human trafficking?  *
Not at all knowledgeable
Highly knowledgeable
Is this applicant looking to provide training or be trained?  *
Select all the types of geographic areas that the applicant services/ works. 
 *
Required
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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