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Global Modern Slavery Directory Application/Update Form (2023)

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ABOUT THE GLOBAL MODERN SLAVERY DIRECTORY

The Global Modern Slavery Directory (GMSD) is a collaborative effort to identify and map organizations working on human trafficking, modern slavery, and related issues around the world. The goal is to create a resource that individuals and organizations can use to connect with a range of actors who are tackling human trafficking globally. We aim to include non-governmental organizations (NGOs), multilateral institutions, government agencies, and law enforcement agencies, among others.

To ensure the GMSD can meet its goal of providing up-to-date and high quality referrals to meet survivors' unique needs, every application is reviewed and vetted prior to being added to the GMSD. Organizations interested in being included in the database are asked to complete the following form. Only authorized staff members from the organization should complete this form. Organizations that already exist in the GMSD will be asked to complete an annual update process, reviewing and updating all fields on this form to ensure accuracy as well as to fill in newly added information aimed to improve the referral process for survivors.

The GMSD does not endorse or certify organizations included in our database. Your answers to the questions listed below will help us to determine if your agency meets the minimum criteria for inclusion, and to ensure that you are receiving the appropriate referrals based on your mission, capacity, and service area. For more information about the database, policies, and inclusion criteria, please click this link.

It is recommended that you create a login in order to save your progress and resume later, if needed.

Once the form has been submitted, GMSD staff may follow-up with you via email or a phone call to discuss your agency's structure, service delivery policies and procedures, and available services.

If your organization provides services within the United States, please fill out the application for the National Human Trafficking Referral Directory, do not fill out this form.

SERVICE PROVIDER INFORMATION

Please enter your organization's name:

Would you like to include any translations of your organization's name?
(Note: If the official name of your organization is not in English, please include at least one English translation.)

YesNo

Select Language

Translation

Would you like to add a second translation?

YesNo

Select Language

Translation

Would you like to add a third translation?

YesNo

Select Language

Translation

Please select the statement that most accurately describes your organization:

Human trafficking is the main focus of my organization.Human trafficking is one of several focus areas of my organization.My organization does not work specifically on human trafficking, but we are able to serve victims of human trafficking if necessary.

Provider Type

Direct Services AgencyIndirect Services OnlyGovernment AgencyLaw Enforcement AgencyHealth Care FacilityIf you are a social services or legal services provider, choose "Direct Services Provider." If you are a community group, advocacy group, or non-government agency that does not provide social or legal services, choose "Indirect Services Only." If your organization is an Indirect Service Provider, the type of referral services should be restricted to: Education/Job Training, Interpretation/Translation, Outreach/Awareness, Survivor Leadership, Training, or Volunteer Opportunities.

How should your organization's information be made available?
Please note: If made public, you can choose what contact information to make public in the last section of this page.

Available internally only to Global Modern Slavery Directory (GMSD) Staff Publicly visible on the GMSD online database and by contacting GMSD Staff

ORGANIZATION CONTACT INFORMATION

Phone Numbers:

Please note: if you would like us to refrain from publishing any of the following information in the directory, you may indicate so in the following section. If you do provide us with phone numbers for your organization, please fill out the details fields for those numbers. Failure to provide information will delay vetting process. If you choose to make phone numbers public, all information will show on the public website unless otherwise indicated.

Main Telephone Number (Main number to reach organization)

Main Phone Hours (Hours and days of operation)

Ex: 08:00 - 17:00 (M-Sa)

Main Phone Purpose (Ex. administrative line, main office number, or program information)

Secondary Telephone Number (Additional phone number for the organization)

Secondary Phone Hours (Hours and days of operation)

Ex: 08:00 - 17:00 (M-Sa)

Secondary Phone Purpose (Purpose of Line: administration, main office, etc.)

Tertiary Telephone Number (Additional phone number for the organization)

Tertiary Phone Hours (Hours and days of operation)

Ex: 08:00 - 17:00 (M-Sa)

Tertiary Phone Purpose (Purpose of Line: administration, main office, etc.)

PHYSICAL ADDRESS

Please note: if you would like us to refrain from publishing any of the following information in the directory, you may indicate so in the following section.

Street Address

City

State/Province

Postal Code

Country

Email/Web Information:

Primary Email Address

Secondary Email Address

Website Address (URL)

Ex: www.globalmodernslavery.org

PUBLIC INFORMATION AND PREFERRED CONTACT METHOD

What organization contact information may be published in the Global Modern Slavery Directory?

Main PhoneSecondary Phone Tertiary PhonePrimary EmailSecondary EmailStreet Address

Preferred Contact Method

PhoneHotlineEmailWebsite Form

SOCIAL MEDIA

If you have a social media presence, please list it here. Please note social media handles will show on the public website.

What is the Facebook URL?

Ex: www.facebook.com/polarisproject

What is the Instagram URL?

Ex: www.instagram.com/polarisproject

What is the Twitter URL?

Ex: www.twitter.com/polarisproject

What is the YouTube URL?

Ex: www.youtube.com/polarisproject

Provide other social media URL here:

EX: LinkedIn, Blog, Pinterest, etc.

If you have any questions or concerns, please email global@polarisproject.org.

GEOGRAPHIC SERVICE AREA AND LANGUAGES

Geographic Service Area:
Please indicate the city, state, or region in your country where your organization provides services. For example: "Kingston, Jamaica" or "Northeastern Nigeria" or "Throughout Madagascar." If your organization provides services throughout multiple countries, please skip to the next question.

Does your organization have locations in different countries that you also wish to be included in the Global Modern Slavery Directory?

YesNo

ADDITIONAL LOCATION INFORMATION

Do the other locations have different referral methods and/or different services offered?

Yes (If yes, it is best to complete separate applications for each location)*No, referral methods and services are the same across locations

*Please still continue to fill out the form for office specified on Page 1. For country offices that offer different services or work with different populations, we ask for the offices to be listed separately in the GMSD (please follow this link to fill out a form for each office). We ask this so that victims and survivors seeking services in a certain country are met with accurate and detailed information that will help them to easily find the best resource available.

In which country does your organization operate? If more than one, please list all.
(To add countries, start typing the name of the country and choose from the provided list.)

Enter other countries not listed in the field above:

If entering more than one country, please separate them with a semicolon(;)

Select all languages your organization has capacity to speak, without the use of a tele-interpretation service.
(To add languages, start typing the name of the language and choose from the provided list.)

Enter other languages not listed in the field above:

If entering more than one language, please separate them with a semicolon(;)

Does your organization's office have access to a tele-interpreting service?

Language Capacity Notes:

Please enter any additional information about your language capacity that may be useful for those using the GMSD to know.

If you have any questions or concerns, please email global@polarisproject.org.

NB: Information on this page will be used during the review process to determine if your organization meets the minimum inclusion criteria for the Global Modern Slavery Directory as well as to build context around how your organization provides services. The information provided here will be used for internal vetting purposes and will only be shared with those involved in the vetting process, which may include external stakeholders.

TRAFFICKING TYPES

Which types of trafficking does your organization work with?
Please select all that apply.

Public DB Types of Trafficking

Sex TraffickingLabor Trafficking/Forced Labor/Debt BondageOrgan TraffickingForced MarriageEarly/Child MarriageInternational Marriage Brokering/"Bride Trafficking"International AdoptionChild TraffickingChild Sexual Abuse Material (CSAM)/Child PornographyUse of Children in Armed ConflictTrafficking for Forced Criminal ActivitiesOther, please specify:

Please describe your other here:

Are you willing to serve someone who identifies as a sex worker or is engaging in commercial sex, even if they may not identify as a victim of human trafficking or present indicators of human trafficking?

Are you willing to serve someone who has been exploited for labor, even if they may not identify as a victim of human trafficking or present indicators of human trafficking?

POPULATION TYPES

What populations does your organization serve?
Please select all that apply.

What populations does your organization serve?

AdultsYouth and Children (Under the age of 18)FemalesMalesTransgender Female-to-MaleTransgender Male-to-FemaleCitizens of Country Foreign Nationals/Non-Citizens

Does your organization work with any of the following at-risk populations?
Please only select the following specializations when it is part of your organization’s core mission/focus to serve these groups, resulting in particular expertise. It is assumed that agencies that do not “specialize” in serving these populations will still offer services to clients who identify with these populations and meet agency intake criteria.
Please select all that apply.

Does your organization work with any of the following at-risk populations?

Ethnic MinoritiesFormer/Current Incarcerated PersonsHIV/AIDSHomelessIndigenous PopulationsLGBTQIA+Migrant WorkersPeople with DisabilitiesRefugees/Asylum SeekersReligious/Social/Political Minority GroupsOther, please specify:

Please describe your other here:

Ethnic Minorities Specialization details. Please tell us more about your experience working with this population, any special training your staff has received, and what considerations your organization takes when working with a survivor identifying as ethnic minorities.

Formerly/Currently Incarcerated Victims Specialization details. Please tell us more about your experience working with this population, any special training your staff has received, and what considerations your organization takes when working with a survivor who was formerly or is currently incarcerated.

Indigenous Populations Specialization details. Please tell us more about your experience working with this population, any special training your staff has received, and what considerations your organization takes when working with a survivor identifying as indigenous. Please also indicate any specific tribal affiliations or communities that your organization is specialized in serving.

LGBTQIA+ Specialization details. Include information on your experience working with this population, special training staff has received, and what considerations are taken when working with a survivor identifying as LGBTQIA+. Is the organization a member of any networks for service providers specializing in serving populations who identify as LGBTQIA+? If you provide housing or shelter, what does that look like for someone identifying at LGBTQIA+? If your organization addresses medical needs, does that include assistance with hormone treatment? If your organization requires an ID for admission into your program, what are the implications if the ID doesn't match how the potential client identifies?

Migrant Workers Specialization details. Please tell us more about your experience working with this population, any special training your staff has received, and what considerations your organization takes when working with a survivor who is or was a migrant worker.

People with Disabilities Specialization details. Please tell us more about your experience working with this population, any special training your staff has received, and what considerations your organization takes when working with a survivor with disabilities.

People with HIV/AIDS Specialization details. Please tell us more about your experience working with this population, any special training your staff has received, and what considerations your organization takes when working with a survivor with HIV/AIDS.

Refugee/Asylum-Seeker Specialization details. Please tell us more about your experience working with this population, any special training your staff has received, and what considerations your organization takes when working with a survivor identifying as refugee/asylum-seekers.

Religious, Social, or Political Minority Groups Specialization details. Please tell us more about your experience working with this population, any special training your staff has received, and what considerations your organization takes when working with a survivor from religious, social, or political minority groups.

INDUSTRIES/SECTORS

In which industries has your organization encountered trafficking?
Please select all that apply.

Adult Entertainment	Agriculture/Forestry	Aqua-farming
Bar/Club/Cantina	Beauty/Spa Industry	Begging
Brick Kilns	Construction	Domestic Work
Electronics	Fishing Boats	Food/Beverage Processing
Health Care	Hotel/Restaurant	Logging
Manufacturing	Military-Related Work/Armed Conflict	Mining/Quarrying
Modeling	Oil and Gas Extraction	Palm Oil
Peddling Ring	Prostitution/Sex Slavery	Retail
Shrimp/Fish Processing	Sports	Textile Industry
Tobacco Farming/Processing	Transportation	Weaving/Carpetmaking
Other, please specify

Please describe your other here:

SERVICES PROVIDED

How are services provided to human trafficking survivors?

Only designated staff members serve trafficking survivorsAll staff members may serve trafficking survivorsVolunteers with staff supervision serve trafficking survivorsMy organization does not provide services to trafficking survivors

How does your organization accept referrals?

Self-Referral in addition to community and professional referralsFrom Law Enforcement or Criminal Justice System OnlyFrom other Service Providers and Law Enforcement Only

Organization will accept nationwide referrals (from across the country).
Survivor does not need to be already within a specific geographic location at the time of initial intake and establishment of service provision. May be able to assist with relocation in some instances.

YesNo

Can you accept referrals from the US National Human Trafficking Hotline?
By being included in the Global Modern Slavery Directory, it is expected that your organization will accept referrals about international situations from the US Trafficking Hotline. This includes willingness to receive tips (via email) from the US Trafficking Hotline as well accept warm transfers where your staff will first briefly interact with Hotline Advocates who are expected to confirm general capacity and fit prior to connecting the survivor to the call and disconnecting for privacy of the further conversation or intake. When survivors are comfortable, the Hotline acts as this mediator initially to remove the need for survivors to share their experience when general barriers exist preventing entrance to a program.

YesNo

SERVICES PROVIDED TO VICTIMS AND SURVIVORS OF HUMAN TRAFFICKING

Please select all that apply AND enter explanatory notes. Notes are very helpful as they provide users and staff of the GMSD with some context. As the US National Human Trafficking Hotline also uses the GMSD when making referrals for international cases, notes are helpful in determining the best referral. Please be careful to select the populations that are eligible for each service (including selections from each category: age, gender, type of trafficking, and nationality).

Please select only services that you provide in-house.

Due to the purpose of the GMSD, it will be assumed that all services listed will be available to survivors and victims of human trafficking. If you provide indirect services such as training, please only include those services that relate to human trafficking.

Addiction Treatment/Services - Providing treatment or services related to substance use or addiction.

Addiction Treatment/Services Notes (Ex: Do you have certified addiction treatment specialists or counselors on staff to help with this? What is the typical process like? How long does the program last? Addiction types?)

How are addiction treatment/services offered?

Directly by the organization's own programs and staff Via stable, formal MOU

Populations Served

Same as populations listed in section above (including specialized/at-risk populations)This service is offered to a different set of populations.

Please select all applicable from each category: age, gender, nationality, type of trafficking, and any specialized population (Please indicate whether this service has a particular focus or programming specific for these populations.)

Minor	Adult	Female	Male
Transgender Female-to-Male	Transgender Male-to-Female	Citizens	Foreign National
Labor Trafficking	Sex Trafficking	LGBTQIA+	People with Disabilities
Indigenous Populations	Refugee/Asylum-Seekers	Ethnic Minorities	People with HIV/AIDS
Religious, Social, or Political Minority Groups	Migrant Workers	Formerly/Currently Incarcerated Victims	Homeless Populations

Advice/Safety Planning - Providing advice on how to stay safe from or during a trafficking situation.

Advice/Safety Planning Notes

How is advice/safety planning offered?

Directly by the organization's own programs and staff Via stable, formal MOU

Populations Served

Same as populations listed in section above (including specialized/at-risk populations)This service is offered to a different set of populations.

Please select all applicable from each category: age, gender, nationality, type of trafficking, and any specialized population (Please indicate whether this service has a particular focus or programming specific for these populations.)

Minor	Adult	Female	Male
Transgender Female-to-Male	Transgender Male-to-Female	Citizens	Foreign National
Labor Trafficking	Sex Trafficking	LGBTQIA+	People with Disabilities
Indigenous Populations	Refugee/Asylum-Seekers	Ethnic Minorities	People with HIV/AIDS
Religious, Social, or Political Minority Groups	Migrant Workers	Formerly/Currently Incarcerated Victims	Homeless Populations

Case Management - Providing assistance connecting to a variety of social services and/or benefits.

Case Management Notes (Ex: Do you have case managers on staff or do you partner with other organizations that offer case management? What kind of case management services do you provide?)

How is case management offered?

Directly by the organization's own programs and staff Via stable, formal MOU

Populations Served

Same as populations listed in section above (including specialized/at-risk populations)This service is offered to a different set of populations.

Minor	Adult	Female	Male
Transgender Female-to-Male	Transgender Male-to-Female	Citizens	Foreign National
Labor Trafficking	Sex Trafficking	LGBTQIA+	People with Disabilities
Indigenous Populations	Refugee/Asylum-Seekers	Ethnic Minorities	People with HIV/AIDS
Religious, Social, or Political Minority Groups	Migrant Workers	Formerly/Currently Incarcerated Victims	Homeless Populations

Child Care - Organization offers child care for dependents of clients on-site or via MOU with a child care agency.

Child Care Notes (Ex: Do you have certified child care professionals on staff? How can clients access this service for their dependents?)

How is child care offered?

Directly by the organization's own programs and staff Via stable, formal MOU

Populations Served

Same as populations listed in section above (including specialized/at-risk populations)This service is offered to a different set of populations.

Minor	Adult	Female	Male
Transgender Female-to-Male	Transgender Male-to-Female	Citizens	Foreign National
Labor Trafficking	Sex Trafficking	LGBTQIA+	People with Disabilities
Indigenous Populations	Refugee/Asylum-Seekers	Ethnic Minorities	People with HIV/AIDS
Religious, Social, or Political Minority Groups	Migrant Workers	Formerly/Currently Incarcerated Victims	Homeless Populations

Crisis Services - 24/7 access to an advocate for assistance locating shelter, speaking to law enforcement, or accessing other needed assistance.

Crisis Services Notes (Ex: What kind of crisis services does your organization provide? Do you help coordinate emergency services? Do you help potential victims find emergency shelter or work with law enforcement to help them leave their trafficking situations?)

How are crisis services offered?

Directly by the organization's own programs and staff Via stable, formal MOU

Populations Served

Same as populations listed in section above (including specialized/at-risk populations)This service is offered to a different set of populations.

Minor	Adult	Female	Male
Transgender Female-to-Male	Transgender Male-to-Female	Citizens	Foreign National
Labor Trafficking	Sex Trafficking	LGBTQIA+	People with Disabilities
Indigenous Populations	Refugee/Asylum-Seekers	Ethnic Minorities	People with HIV/AIDS
Religious, Social, or Political Minority Groups	Migrant Workers	Formerly/Currently Incarcerated Victims	Homeless Populations

Direct Victim Outreach - Organizations that engage directly with potential victims when doing outreach about their services.

Direct Victim Outreach Notes (Ex: What programs do you have in place to do direct victim outreach? Do you partner with other organizations?)

How is direct service outreach offered?

Directly by the organization's own programs and staff Via stable, formal MOU

Populations Served

Same as populations listed in section above (including specialized/at-risk populations)This service is offered to a different set of populations.

Minor	Adult	Female	Male
Transgender Female-to-Male	Transgender Male-to-Female	Citizens	Foreign National
Labor Trafficking	Sex Trafficking	LGBTQIA+	People with Disabilities
Indigenous Populations	Refugee/Asylum-Seekers	Ethnic Minorities	People with HIV/AIDS
Religious, Social, or Political Minority Groups	Migrant Workers	Formerly/Currently Incarcerated Victims	Homeless Populations

Drop-In Center - Organization has a location where survivors of trafficking can stop by without an appointment for rest, advice, or other assistance.

Drop-In Center Notes (Ex: What kinds of services does your drop in center provide? What are the hours/days of operation?)

Drop-In Center Location: Please provide the address for the drop-in center. (Please note: You can choose whether to make this public on the GMSD or not in the next question.)

Is the drop-in center address confidential, public, private but able to be shared with signalers of the US National Human Trafficking Hotline?

How is the drop-in center offered?

Directly by the organization's own programs and staff Via stable, formal MOU

Populations Served

Same as populations listed in section above (including specialized/at-risk populations)This service is offered to a different set of populations.

Minor	Adult	Female	Male
Transgender Female-to-Male	Transgender Male-to-Female	Citizens	Foreign National
Labor Trafficking	Sex Trafficking	LGBTQIA+	People with Disabilities
Indigenous Populations	Refugee/Asylum-Seekers	Ethnic Minorities	People with HIV/AIDS
Religious, Social, or Political Minority Groups	Migrant Workers	Formerly/Currently Incarcerated Victims	Homeless Populations

Education/Job Training (Direct) - Providing clients education and/or job training services such as language classes, computer classes, or job placement services, in-house or via MOU.

Direct Education/Job Training Notes (Ex: What kind of job training courses are provided? How long do the courses last? Are there any requirements for those wishing to access this service?)

How is education/job training offered?

Directly by the organization's own programs and staff Via stable, formal MOU

Populations Served

Same as populations listed in section above (including specialized/at-risk populations)This service is offered to a different set of populations.

Minor	Adult	Female	Male
Transgender Female-to-Male	Transgender Male-to-Female	Citizens	Foreign National
Labor Trafficking	Sex Trafficking	LGBTQIA+	People with Disabilities
Indigenous Populations	Refugee/Asylum-Seekers	Ethnic Minorities	People with HIV/AIDS
Religious, Social, or Political Minority Groups	Migrant Workers	Formerly/Currently Incarcerated Victims	Homeless Populations

Education/Career Resources (Indirect) - Organization provides resources such as scholarships, connections to state or community education or job placement resources external to the organization itself.

Indirect Education/Career Resources (Ex: Are there any requirements for clients wishing to access this resource?)

How are education/career resources offered?

Directly by the organization's own programs and staff Via stable, formal MOU

Populations Served

Same as populations listed in section above (including specialized/at-risk populations)This service is offered to a different set of populations.

Minor	Adult	Female	Male
Transgender Female-to-Male	Transgender Male-to-Female	Citizens	Foreign National
Labor Trafficking	Sex Trafficking	LGBTQIA+	People with Disabilities
Indigenous Populations	Refugee/Asylum-Seekers	Ethnic Minorities	People with HIV/AIDS
Religious, Social, or Political Minority Groups	Migrant Workers	Formerly/Currently Incarcerated Victims	Homeless Populations

Emergency Shelter - Providing immediate/emergency access 24/7 to safe accommodations (can include formal shelters, safe houses, and/or hotel/motel stays).

Emergency Shelter Notes (NB: We define emergency shelter as where those in an emergency situation can quickly go while waiting to be moved to a more generic shelter, normally this shelter is only for a night or two. )

Is the emergency shelter in a confidential/secure location?

YesNo

Shelter Safety: Please provide details regarding the organization's physical and emotional safety practices and standards for survivors accessing this resource.

How is emergency shelter offered?

Directly by the organization's own programs and staff Via stable, formal MOU

Please provide the general length of stay:

Populations Served

Same as populations listed in section above (including specialized/at-risk populations)This service is offered to a different set of populations.

Minor	Adult	Female	Male
Transgender Female-to-Male	Transgender Male-to-Female	Citizens	Foreign National
Labor Trafficking	Sex Trafficking	LGBTQIA+	People with Disabilities
Indigenous Populations	Refugee/Asylum-Seekers	Ethnic Minorities	People with HIV/AIDS
Religious, Social, or Political Minority Groups	Migrant Workers	Formerly/Currently Incarcerated Victims	Homeless Populations

Family Reunification - Providing assistance in locating family members and/or reuniting with family.

Family Reunification Notes (Ex: Do you have a system in place for this service? What are the requirements for clients accessing this service?)

How is family reunification offered?

Directly by the organization's own programs and staff Via stable, formal MOU

Populations Served

Same as populations listed in section above (including specialized/at-risk populations)This service is offered to a different set of populations.

Minor	Adult	Female	Male
Transgender Female-to-Male	Transgender Male-to-Female	Citizens	Foreign National
Labor Trafficking	Sex Trafficking	LGBTQIA+	People with Disabilities
Indigenous Populations	Refugee/Asylum-Seekers	Ethnic Minorities	People with HIV/AIDS
Religious, Social, or Political Minority Groups	Migrant Workers	Formerly/Currently Incarcerated Victims	Homeless Populations

Health Care - Providing health-care on-site, operating a clinic, or has an MOU with a health-care provider.

Health Care Notes (Ex: What kind of health care services are provided?)

How are health care services offered?

Directly by the organization's own programs and staff Via stable, formal MOU

Populations Served

Same as populations listed in section above (including specialized/at-risk populations)This service is offered to a different set of populations.

Minor	Adult	Female	Male
Transgender Female-to-Male	Transgender Male-to-Female	Citizens	Foreign National
Labor Trafficking	Sex Trafficking	LGBTQIA+	People with Disabilities
Indigenous Populations	Refugee/Asylum-Seekers	Ethnic Minorities	People with HIV/AIDS
Religious, Social, or Political Minority Groups	Migrant Workers	Formerly/Currently Incarcerated Victims	Homeless Populations

Interpretation/Translation - Providing a qualified interpreter for court proceedings, working with law enforcement, or working with other agencies. DO NOT select if interpretation/translation services are limited for use within your agency and not as described above.

Interpretation/Translation Notes (Ex: What languages are available?)

How are interpretation/translation services offered?

Directly by the organization's own programs and staff Via stable, formal MOU

Populations Served

Same as populations listed in section aboveThis service is offered to a different set of populations.

Minor	Adult	Female	Male
Transgender Female-to-Male	Transgender Male-to-Female	Citizens	Foreign National
Labor Trafficking	Sex Trafficking	LGBTQIA+	People with Disabilities
Indigenous Populations	Refugee/Asylum-Seekers	Ethnic Minorities	People with HIV/AIDS
Religious, Social, or Political Minority Groups	Migrant Workers	Formerly/Currently Incarcerated Victims	Homeless Populations

Legal Services: Civil - Providing legal assistance/consultation for civil legal matters. (Ex: Assistance related to suing someone, workers' rights, discrimination, etc).

Legal Services: Civil Notes (Ex: Can other population groups benefit from these services or are they only for VoT? Do you have lawyers on staff, or do you partner with a legal agency?)

How are civil legal services offered?

Directly by the organization's own programs and staff Via stable, formal MOU

Populations Served

Same as populations listed in section above (including specialized/at-risk populations)This service is offered to a different set of populations.

Minor	Adult	Female	Male
Transgender Female-to-Male	Transgender Male-to-Female	Citizens	Foreign National
Labor Trafficking	Sex Trafficking	LGBTQIA+	People with Disabilities
Indigenous Populations	Refugee/Asylum-Seekers	Ethnic Minorities	People with HIV/AIDS
Religious, Social, or Political Minority Groups	Migrant Workers	Formerly/Currently Incarcerated Victims	Homeless Populations

Legal Services: Criminal - Providing legal assistance/consultation related to criminal defense or crime victim rights advocacy. (Ex: Assistance with expungement or vacatur related to a criminal charge; charging another person with a crime).

Legal Services: Criminal Notes (Ex: Can other population groups benefit from these services or are they only for VoT? Do you have lawyers on staff or do you partner with a legal agency?)

How are criminal legal services offered?

Directly by the organization's own programs and staff Via stable, formal MOU

Populations Served

Same as populations listed in section above (including specialized/at-risk populations)This service is offered to a different set of populations.

Minor	Adult	Female	Male
Transgender Female-to-Male	Transgender Male-to-Female	Citizens	Foreign National
Labor Trafficking	Sex Trafficking	LGBTQIA+	People with Disabilities
Indigenous Populations	Refugee/Asylum-Seekers	Ethnic Minorities	People with HIV/AIDS
Religious, Social, or Political Minority Groups	Migrant Workers	Formerly/Currently Incarcerated Victims	Homeless Populations

Legal Services: Generic - Providing generic legal assistance.

Legal Services: Generic Notes (Ex: What kind of legal services do you provide? Do you have lawyers on staff or do you partner with a legal agency?)

How are generic legal services offered?

Directly by the organization's own programs and staff Via stable, formal MOU

Populations Served

Same as populations listed in section above (including specialized/at-risk populations)This service is offered to a different set of populations.

Minor	Adult	Female	Male
Transgender Female-to-Male	Transgender Male-to-Female	Citizens	Foreign National
Labor Trafficking	Sex Trafficking	LGBTQIA+	People with Disabilities
Indigenous Populations	Refugee/Asylum-Seekers	Ethnic Minorities	People with HIV/AIDS
Religious, Social, or Political Minority Groups	Migrant Workers	Formerly/Currently Incarcerated Victims	Homeless Populations

Legal Services: Immigration - Providing legal assistance/consultation related to immigration (Examples: Seeking assistance related to current visa or immigration needs, assistance with deportation proceedings).

Legal Services: Immigration Notes (Ex: Can other population groups benefit from these services or are they only for VoT? Do you have lawyers on staff or do you partner with a legal agency?)

How are immigration legal services offered?

Directly by the organization's own programs and staff Via stable, formal MOU

Populations Served

Same as populations listed in section above (including specialized/at-risk populations)This service is offered to a different set of populations.

Minor	Adult	Female	Male
Transgender Female-to-Male	Transgender Male-to-Female	Citizens	Foreign National
Labor Trafficking	Sex Trafficking	LGBTQIA+	People with Disabilities
Indigenous Populations	Refugee/Asylum-Seekers	Ethnic Minorities	People with HIV/AIDS
Religious, Social, or Political Minority Groups	Migrant Workers	Formerly/Currently Incarcerated Victims	Homeless Populations

Long-Term Housing - Residential housing for more than a year, typically under an independence model with less comprehensive wrap-around services required.

Long-Term Housing Notes (NB: We define Long-Term Housing as providing clients with low cost or at cost housing options can be for a year or more. - What is the process like for clients wishing to access this type of housing?)

Is the long-term housing unit(s) in a confidential/secure location?

YesNo

Shelter Safety: Please provide details regarding the organization's physical and emotional safety practices and standards for survivors accessing this resource.

How is long-term housing offered?

Directly by the organization's own programs and staff Via stable, formal MOU

Please provide the average/typically expected length of stay:

Populations Served

Same as populations listed in section above (including specialized/at-risk populations)This service is offered to a different set of populations.

Minor	Adult	Female	Male
Transgender Female-to-Male	Transgender Male-to-Female	Citizens	Foreign National
Labor Trafficking	Sex Trafficking	LGBTQIA+	People with Disabilities
Indigenous Populations	Refugee/Asylum-Seekers	Ethnic Minorities	People with HIV/AIDS
Religious, Social, or Political Minority Groups	Migrant Workers	Formerly/Currently Incarcerated Victims	Homeless Populations

Mental Health Services (Out-Patient) - Providing individual or group therapy facilitated by a licensed therapist. This option does not include inpatient services.

Mental Health Services (Out-Patient) Notes (Ex: What is the process like for getting clients access to this service?)

How are mental health services (out-patient) offered?

Directly by the organization's own programs and staff Via stable, formal MOU

Populations Served

Same as populations listed in section above (including specialized/at-risk populations)This service is offered to a different set of populations.

Minor	Adult	Female	Male
Transgender Female-to-Male	Transgender Male-to-Female	Citizens	Foreign National
Labor Trafficking	Sex Trafficking	LGBTQIA+	People with Disabilities
Indigenous Populations	Refugee/Asylum-Seekers	Ethnic Minorities	People with HIV/AIDS
Religious, Social, or Political Minority Groups	Migrant Workers	Formerly/Currently Incarcerated Victims	Homeless Populations

Policy Advocacy - Works on/advocates for anti-trafficking policies with government officials/agencies.

Policy Advocacy Notes

How is policy advocacy offered?

Directly by the organization's own programs and staff Via stable, formal MOU

Populations Served

Same as populations listed in section above (including specialized/at-risk populations)This service is offered to a different set of populations.

Minor	Adult	Female	Male
Transgender Female-to-Male	Transgender Male-to-Female	Citizens	Foreign National
Labor Trafficking	Sex Trafficking	LGBTQIA+	People with Disabilities
Indigenous Populations	Refugee/Asylum-Seekers	Ethnic Minorities	People with HIV/AIDS
Religious, Social, or Political Minority Groups	Migrant Workers	Formerly/Currently Incarcerated Victims	Homeless Populations

Psychological Support: Generic - Providing general psychosocial support.

Psychological Support: Generic Notes (Ex: Do you have certified counselors/therapists/psychologists on staff, or do you partner with another service provider to provide these services?)

How is generic psychological support offered?

Directly by the organization's own programs and staff Via stable, formal MOU

Populations Served

Same as populations listed in section above (including specialized/at-risk populations)This service is offered to a different set of populations.

Minor	Adult	Female	Male
Transgender Female-to-Male	Transgender Male-to-Female	Citizens	Foreign National
Labor Trafficking	Sex Trafficking	LGBTQIA+	People with Disabilities
Indigenous Populations	Refugee/Asylum-Seekers	Ethnic Minorities	People with HIV/AIDS
Religious, Social, or Political Minority Groups	Migrant Workers	Formerly/Currently Incarcerated Victims	Homeless Populations

Repatriation - Providing assistance in returning to country of origin.

Repatriation Notes (Ex: What is the process for clients wishing to access this service? Do you work with organizations in country of origin to ensure clients have access to services when they return home?)

How is repatriation offered?

Directly by the organization's own programs and staff Via stable, formal MOU

Populations Served

Same as populations listed in section above (including specialized/at-risk populations)This service is offered to a different set of populations.

Minor	Adult	Female	Male
Transgender Female-to-Male	Transgender Male-to-Female	Citizens	Foreign National
Labor Trafficking	Sex Trafficking	LGBTQIA+	People with Disabilities
Indigenous Populations	Refugee/Asylum-Seekers	Ethnic Minorities	People with HIV/AIDS
Religious, Social, or Political Minority Groups	Migrant Workers	Formerly/Currently Incarcerated Victims	Homeless Populations

Residential Mental Health Treatment (In-Patient) - Providing a residential treatment program to address mental health or behavioral health needs in a clinical-residential setting.

Residential Mental Health Treatment (In-Patient) Notes (Ex: Do you operate a residential mental health treatment facility or partner with one? What kind of services do you provide? How long can clients remain?)

How is residential mental health treatment (in-patient) offered?

Directly by the organization's own programs and staff Via stable, formal MOU

Populations Served

Same as populations listed in section above (including specialized/at-risk populations)This service is offered to a different set of populations.

Minor	Adult	Female	Male
Transgender Female-to-Male	Transgender Male-to-Female	Citizens	Foreign National
Labor Trafficking	Sex Trafficking	LGBTQIA+	People with Disabilities
Indigenous Populations	Refugee/Asylum-Seekers	Ethnic Minorities	People with HIV/AIDS
Religious, Social, or Political Minority Groups	Migrant Workers	Formerly/Currently Incarcerated Victims	Homeless Populations

Shelter: Generic - Providing general shelter or housing.

Shelter: Generic Notes (NB: We define Generic shelter as where a client can stay for a longer period of time and have specialized care; it can be anywhere from a few days to months (or even a year) - What are the requirements/intake process for clients wishing to enter the shelter?)

Is the generic shelter in a confidential/secure location?

YesNo

Shelter Safety: Please provide details regarding the organization's physical and emotional safety practices and standards for survivors accessing this resource.

How is the generic shelter offered?

Directly by the organization's own programs and staff Via stable, formal MOU

Please provide the average/typically expected length of stay:

Populations Served

Same as populations listed in section above (including specialized/at-risk populations)This service is offered to a different set of populations.

Minor	Adult	Female	Male
Transgender Female-to-Male	Transgender Male-to-Female	Citizens	Foreign National
Labor Trafficking	Sex Trafficking	LGBTQIA+	People with Disabilities
Indigenous Populations	Refugee/Asylum-Seekers	Ethnic Minorities	People with HIV/AIDS
Religious, Social, or Political Minority Groups	Migrant Workers	Formerly/Currently Incarcerated Victims	Homeless Populations

Supportive Counseling - Providing supportive counseling that is not necessarily provided by a licensed therapist.

Supportive Counseling Notes (Ex: Are there any requirements for clients wishing to access this service?)

How is supportive counseling offered?

Directly by the organization's own programs and staff Via stable, formal MOU

Populations Served

Same as populations listed in section above (including specialized/at-risk populations)This service is offered to a different set of populations.

Minor	Adult	Female	Male
Transgender Female-to-Male	Transgender Male-to-Female	Citizens	Foreign National
Labor Trafficking	Sex Trafficking	LGBTQIA+	People with Disabilities
Indigenous Populations	Refugee/Asylum-Seekers	Ethnic Minorities	People with HIV/AIDS
Religious, Social, or Political Minority Groups	Migrant Workers	Formerly/Currently Incarcerated Victims	Homeless Populations

Survivor Leadership - Organization that has a policy or program to support professional development, leadership training, and/or employment to survivors of human trafficking.

Survivor Leadership Notes (Ex: What kind of programs do you offer survivors? Are there any requirements to accessing this service?)

How is survivor leadership offered?

Directly by the organization's own programs and staff Via stable, formal MOU

Populations Served

Same as populations listed in section above (including specialized/at-risk populations)This service is offered to a different set of populations.

Minor	Adult	Female	Male
Transgender Female-to-Male	Transgender Male-to-Female	Citizens	Foreign National
Labor Trafficking	Sex Trafficking	LGBTQIA+	People with Disabilities
Indigenous Populations	Refugee/Asylum-Seekers	Ethnic Minorities	People with HIV/AIDS
Religious, Social, or Political Minority Groups	Migrant Workers	Formerly/Currently Incarcerated Victims	Homeless Populations

Transitional Housing - Providing non-emergency residential housing for a period of 1 month up to 2 years, with additional support services as part of the housing program.

Transitional Housing Notes (NB: We define transitional housing as temporary housing for survivors/clients, including working clients who are earning too little money to afford long-term housing. Transitional housing is set up to transition residents into permanent, affordable housing. -- Ex:Are there any requirements for clients seeking this service?)

Is transitional housing in a confidential/secure location?

YesNo

Shelter Safety: Please provide details regarding the organization's physical and emotional safety practices and standards for survivors accessing this resource.

How is transitional housing offered?

Directly by the organization's own programs and staff Via stable, formal MOU

Please provide the average/typically expected length of stay:

Populations Served

Same as populations listed in section above (including specialized/at-risk populations)This service is offered to a different set of populations.

Minor	Adult	Female	Male
Transgender Female-to-Male	Transgender Male-to-Female	Citizens	Foreign National
Labor Trafficking	Sex Trafficking	LGBTQIA+	People with Disabilities
Indigenous Populations	Refugee/Asylum-Seekers	Ethnic Minorities	People with HIV/AIDS
Religious, Social, or Political Minority Groups	Migrant Workers	Formerly/Currently Incarcerated Victims	Homeless Populations

Transportation Assistance (DIRECT) - Able to directly provide or regularly fund transportation locally and/or nationally. If you provide transportation on a case-by-case basis but do not wish this to be publicly known, please indicate below in the Notes section.

Transportation Assistance (DIRECT) Notes (Ex: Do you pick up VoTs from active situations? Are you working with a bus or ride share service to provide transportation? Do you provide VoTs with transportation to appointments or other needs? How can clients access this service?)

How is direct transportation assistance offered?

Directly by the organization's own programs and staff Via stable, formal MOU

Populations Served

Same as populations listed in section above (including specialized/at-risk populations)This service is offered to a different set of populations.

Minor	Adult	Female	Male
Transgender Female-to-Male	Transgender Male-to-Female	Citizens	Foreign National
Labor Trafficking	Sex Trafficking	LGBTQIA+	People with Disabilities
Indigenous Populations	Refugee/Asylum-Seekers	Ethnic Minorities	People with HIV/AIDS
Religious, Social, or Political Minority Groups	Migrant Workers	Formerly/Currently Incarcerated Victims	Homeless Populations

Transportation Assistance (INDIRECT) - Organization offers funds for transportation options locally and/or nationally through vouchers, tokens, cash assistance, etc. If you provide these resources for transportation on a case-by-case basis and do not wish this to be publicly known, please indicate below in the Notes section.

Transportation Assistance (INDIRECT) Notes (Ex: Are there any requirements for accessing this service?)

How is indirect transportation assistance offered?

Directly by the organization's own programs and staff Via stable, formal MOU

Populations Served

Same as populations listed in section above (including specialized/at-risk populations)This service is offered to a different set of populations.

Minor	Adult	Female	Male
Transgender Female-to-Male	Transgender Male-to-Female	Citizens	Foreign National
Labor Trafficking	Sex Trafficking	LGBTQIA+	People with Disabilities
Indigenous Populations	Refugee/Asylum-Seekers	Ethnic Minorities	People with HIV/AIDS
Religious, Social, or Political Minority Groups	Migrant Workers	Formerly/Currently Incarcerated Victims	Homeless Populations

SERVICES FOR THE COMMUNITY

Community Outreach/Awareness - Conducting general outreach or raising awareness directed toward the community on topics related to human trafficking.

Community Outreach/Awareness Notes

Populations Targeted for Community Outreach/Awareness

Same as populations listed in section above (including specialized/at-risk populations)This service is offered to a different set of populations.

Minor	Adult	Female	Male
Transgender Female-to-Male	Transgender Male-to-Female	Citizens	Foreign National
Labor Trafficking	Sex Trafficking	LGBTQIA+	People with Disabilities
Indigenous Populations	Refugee/Asylum-Seekers	Ethnic Minorities	People with HIV/AIDS
Religious, Social, or Political Minority Groups	Migrant Workers	Formerly/Currently Incarcerated Victims	Homeless Populations

Grantmaking - Organizations that have the funds for discretionary awarding of grants to other organizations for anti-trafficking projects.

Grantmaking Notes (Ex: What is the grant process like for those wishing to access this funding?)

Organizations providing resources to the following populations are available to apply for grants/funding:

Same as populations listed in section above (including specialized/at-risk populations)This service is offered to a different set of populations.

Minor	Adult	Female	Male
Transgender Female-to-Male	Transgender Male-to-Female	Citizens	Foreign National
Labor Trafficking	Sex Trafficking	LGBTQIA+	People with Disabilities
Indigenous Populations	Refugee/Asylum-Seekers	Ethnic Minorities	People with HIV/AIDS
Religious, Social, or Political Minority Groups	Migrant Workers	Formerly/Currently Incarcerated Victims	Homeless Populations

Research - Organization that conducts their own anti-trafficking research.

Research Notes (Ex: How does your organization actively contribute to the anti-trafficking research field? Are your data or reports available publicly?)

Populations researched

Same as populations listed in section above (including specialized/at-risk populations)Research is on a different set of populations.

Minor	Adult	Female	Male
Transgender Female-to-Male	Transgender Male-to-Female	Citizens	Foreign National
Labor Trafficking	Sex Trafficking	LGBTQIA+	People with Disabilities
Indigenous Populations	Refugee/Asylum-Seekers	Ethnic Minorities	People with HIV/AIDS
Religious, Social, or Political Minority Groups	Migrant Workers	Formerly/Currently Incarcerated Victims	Homeless Populations

Training on Human Trafficking - Community - Available to conduct training and presentations related to human trafficking for community groups.

Training on Human Trafficking - Community Notes

Populations trained on:

Same as populations listed in section above (including specialized/at-risk populations)This service is offered to a different set of populations.

Minor	Adult	Female	Male
Transgender Female-to-Male	Transgender Male-to-Female	Citizens	Foreign National
Labor Trafficking	Sex Trafficking	LGBTQIA+	People with Disabilities
Indigenous Populations	Refugee/Asylum-Seekers	Ethnic Minorities	People with HIV/AIDS
Religious, Social, or Political Minority Groups	Migrant Workers	Formerly/Currently Incarcerated Victims	Homeless Populations

Training on Human Trafficking - Professional - Available to conduct training and presentations related to human trafficking for law enforcement agencies, victim service providers, education, medical and other professionals.

Training on Human Trafficking - Professional Notes

Populations trained on:

Same as populations listed in section above (including specialized/at-risk populations)This service is offered to a different set of populations.

Minor	Adult	Female	Male
Transgender Female-to-Male	Transgender Male-to-Female	Citizens	Foreign National
Labor Trafficking	Sex Trafficking	LGBTQIA+	People with Disabilities
Indigenous Populations	Refugee/Asylum-Seekers	Ethnic Minorities	People with HIV/AIDS
Religious, Social, or Political Minority Groups	Migrant Workers	Formerly/Currently Incarcerated Victims	Homeless Populations

Volunteer Opportunities - Providing opportunities for community members to get involved as a volunteer in the anti-trafficking field.

Volunteer Opportunities Notes

Populations Served

Same as populations listed in section above (including specialized/at-risk populations)This service is offered to a different set of populations.

Minor	Adult	Female	Male
Transgender Female-to-Male	Transgender Male-to-Female	Citizens	Foreign National
Labor Trafficking	Sex Trafficking	LGBTQIA+	People with Disabilities
Indigenous Populations	Refugee/Asylum-Seekers	Ethnic Minorities	People with HIV/AIDS
Religious, Social, or Political Minority Groups	Migrant Workers	Formerly/Currently Incarcerated Victims	Homeless Populations

OTHER SERVICES

If your organization provides other services not listed on this page, please select "other services" below and describe in the text box provided.

Other, please specify:

Please describe your other here:

If you have any questions or concerns, please email global@polarisproject.org.

HOTLINE SPECIFICS

Does your organization operate a hotline/helpline?
(A Hotline/helpline that is under your authority and control.)

YesNo

What access points exist for the hotline?
(How are users able to access the hotline?)

PhoneSMSOnline ChatOther, please specify:

Please describe your other:

What Hotline contact information may be published in the Global Modern Slavery Directory?

Hotline (phone)Hotline (SMS)Hotline (Chat)

What is the hotline (phone) number?

Is your hotline (phone) toll-free?

YesNoIs it free to call your hotline from within your country?

Can your hotline receive calls from outside the service area?

YesNoCan those outside your region/country call the hotline?

What is the hotline's (phone) international number?

Please be sure to include country code.

What is the hotline text line (SMS) number?

What is the hotline online chat URL?

Must be a website URL. Ex: https://humantraffickinghotline.org/chat

Hotline Hours and Days (Phone):

Hours plus days. Ex: 08:00 - 17:00 (M-Sa)

Hotline Hours and Days (SMS):

Hours plus days. Ex: 08:00 - 17:00 (M-Sa)

Hotline Hours and Days (Chat):

Hours plus days. Ex: 08:00 - 17:00 (M-Sa)

Is your hotline (phone) a human trafficking specific or related issue hotline?

Human Trafficking Specific Related Issue

Is your hotline (SMS) a human trafficking specific or related issue hotline?

Human Trafficking SpecificRelated Issue

Is your hotline (Chat) a human trafficking specific or related issue hotline?

Human Trafficking SpecificRelated Issue

For human trafficking hotlines (phone): What is the hotline's main focus area?

Sex Trafficking	Labor trafficking/Forced Labor/Debt Bondage
Trafficking for Forced Criminal Activities	Organ Trafficking
Forced Marriage	Early/Child Marriage
International Marriage Brokering/"Bride Trafficking"	International Adoption
Child Trafficking	Child Sexual Abuse Material (CSAM)/Child Pornography
Use of Children in Armed Conflict

For human trafficking hotlines (SMS): What is the hotline's main focus area?

Sex Trafficking	Labor trafficking/Forced Labor/Debt Bondage
Trafficking for Forced Criminal Activities	Organ Trafficking
Forced Marriage	Early/Child Marriage
International Marriage Brokering/"Bride Trafficking"	International Adoption
Child Trafficking	Child Sexual Abuse Material (CSAM)/Child Pornography
Use of Children in Armed Conflict

For human trafficking hotlines (Chat): What is the hotline's main focus area?

Sex Trafficking	Labor trafficking/Forced Labor/Debt Bondage
Trafficking for Forced Criminal Activities	Organ Trafficking
Forced Marriage	Early/Child Marriage
International Marriage Brokering/"Bride Trafficking"	International Adoption
Child Trafficking	Child Sexual Abuse Material (CSAM)/Child Pornography
Use of Children in Armed Conflict

For related issue hotlines (phone): What is the hotline's main focus area?

Child Abuse/Child Protection/Child Exploitation	Domestic and/or Sexual Violence
Labor	Migration
General victims of crime	General crime tipline/reporting line
Other, please specify

Please describe your other:

For related issue hotlines (SMS): What is the hotline's main focus area?

Child Abuse/Child Protection/Child Exploitation	Domestic and/or Sexual Violence
Labor	Migration
General victims of crime	General crime tipline/reporting line
Other, please specify

Please describe your other:

For related issue hotlines (Chat): What is the hotline's main focus area?

Child Abuse/Child Protection/Child Exploitation	Domestic and/or Sexual Violence
Labor	Migration
General victims of crime	General crime tipline/reporting line
Other, please specify

Please describe your other:

What services does the hotline (Phone) provide?

Counseling	Crisis intervention, coordination of urgent assistance
Emotional support	General information or advice/technical support
Investigation	Legal services/advice
Referrals to social and legal services	Tip reporting/receives potential trafficking reports
Other, please specify

Please describe your other:

What services does the hotline (SMS) provide?

Counseling	Crisis intervention, coordination of urgent assistance
Emotional support	General information or advice/technical support
Investigation	Legal services/advice
Referrals to social and legal services	Tip reporting/receives potential trafficking reports
Other, please specify

Please describe your other:

What services does the hotline (Chat) provide?

Counseling	Crisis intervention, coordination of urgent assistance
Emotional support	General information or advice/technical support
Investigation	Legal services/advice
Referrals to social and legal services	Tip reporting/receives potential trafficking reports
Other, please specify

Please describe your other:

What is the geographic scope of your hotline (Phone)?

Local (within city)Regional (within certain areas of a country)National (entire country)International (multi-country)

What is the geographic scope of your hotline (SMS)?

Local (within city)Regional (within certain areas of a country)National (entire country)International (multi-country)

What is the geographic scope of your hotline (Chat)?

Local (within city)Regional (within certain areas of a country)National (entire country)International (multi-country)

What are the languages spoken on the hotline (phone)?
(To add languages, start typing the name of the language and choose from the provided list.)

What are the languages spoken on the hotline (SMS)?
(To add languages, start typing the name of the language and choose from the provided list.)

What are the languages spoken on the hotline (Chat)?
(To add languages, start typing the name of the language and choose from the provided list.)

Does your hotline (phone) have access to a tele-interpreting service?

Please add here any notes or clarification regarding your hotline.

ADDITIONAL INFORMATION

Please provide your organization's Mission Statement.

Which areas of work most align with your organization and mission? Choose all that apply:

Anti-Trafficking	Child Labor	Child Protection
Children and Family Services	Commercial Sexual Exploitation of Children (CSEC)	Crime Victims
Domestic Violence	Education	Elder Care
Faith-Based Organization	Female Genital Cutting/Mutilation	Financial Crimes Investigation
Gender Based Violence	Homelessness	Human Rights
Humanitarian Assistance/Relief	Immigration	Labor
Labor Exploitation	Labor Migration	Legal
Migration/IDPs	Money Laundering/Corruption	Refugee
Runaway/Homeless Youth	Sexual Abuse/Assault	Substance Abuse
Supply Chain Management	Technology/Innovation	Violence Against Women
Women's Rights	Youth Focused	Other, Please Specify

Please describe your other:

Are clients expected to engage in faith-related activities as part of service delivery?

If your organization does require faith-based activities as part of the program, please describe those activities below. Please also explain what alternatives you provide for clients who may not share the same faith or may not be comfortable engaging in the activities you offer:

Are you a member of the Eurasia Foundation (EF) or the Freedom Collaborative (FC)?

Is the organization a member of any relevant task forces, coalitions, or working groups? If so, please provide details.

Do you give the GMSD permissions to show you are a part of the above mentioned coalitions on the public website? (This only applies if you choose to make your organization public in the directory. Please note that membership to EF and FC will automatically show.)

Is your organization currently carrying out any specific anti-trafficking projects or grants?

If you have any questions or concerns, please email global@polarisproject.org.

PERSON COMPLETING THIS FORM - INFORMATION

Please provide information about the person completing this form to be contacted in case there are any questions about answers provided on this form. This section is for internal use only, it will not be published in the GMSD.

Salutation

Preferred Gender Pronouns

First Name

Last Name

Title/Position

Primary Email:

City

Country

POINT OF CONTACT

Is the Point of Contact for your organizations the same as the person filling out this form?
Please indicate a point of contact within your organization/office for communication from the GMSD. The staff point of contact is a designated staff member who the Global Team at Polaris should reach out to for any future updates to your organization's record and with whom we can communicate regarding the referral of survivors to the organization's services. This section is for internal use only, it will not be published in the GMSD.

YesNo

POINT OF CONTACT - INFORMATION

Salutation

Preferred Gender Pronouns

First Name

Last Name

Title/Position

Office Phone

Mobile Phone

Primary Email:

City

Country

HOW DID YOU LEARN ABOUT THE GMSD?

Please indicate how you learned about the GMSD.

Please add any details about how you heard about the GMSD.

REFERRALS

You are almost done! Are there any other organizations, institutions, or agencies working on human trafficking in your country that should also be included in the Global Modern Slavery Directory? Please provide name of organization and contact email.

Please feel free to share the application link, http://www.globalmodernslavery.org/apply, with any other organizations that may want to join the GMSD.

If you have any questions or concerns, please email global@polarisproject.org.

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