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FAN Advocate Survey – CONFIDENTIAL CONCERNS
The Farmworker Advocacy Network (FAN) created this form to document farmworker issues that go unreported due to concerns about safety and the threat of retaliation. The information collected through this form will be used to help FAN identify common concerns and camps that are frequently mentioned. The form may be completed in English or Spanish. Your name and organization will not be disclosed to anyone outside of FAN without your permission.

El Red de Apoyo a los Trabajadores Agrícolas (FAN) ha creado este formulario para documentar asuntos de los campesinos que no están reportados por miedo de su seguridad o amenaza de represalia. La información compartida a través de este formulario se utilizara FAN para identificar asuntos comunes y sitios frecuentemente mencionados. Se puede llenar en espanol o ingles. Su nombre y organización no serán compartidos con nadie fuera del red (FAN) sin permiso.

Name
Your answer
Organization
Your answer
Position
Your answer
Phone
Your answer
Email
Your answer
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