Name of Officer of Organization

Contact Phone

Email

Legal Organization Name

Short description of organization

Founded year

Organization legal Address:

Please list all your websites and social media (web address or @)

Instagram

Facebook

YouTube

TikTok

Linkedin

Other(s)? Please list

Has your organization ever been investigated for criminal activity? .
YesNo

What do you envision a collaboration with us to look like?

Are you willing to attend at least one quarterly meeting to discuss service/gap mappings, and other common strategies?
YesNo

What services does your organization focus on:

Do you have any human trafficking knowledge?

Is there anything you would like us to know about regarding this application:

Authorization:
I authorize the Child Liberation Foundation to conduct a background investigation as part of its selection process. I authorize and consent, without reservation to the retrieval of information that may include but is not limited to organizations, federal, state, or county level agencies, insurance sources, driving and criminal history. I certify that all of the statements and answers set forth on the application form are true and complete to the best of my knowledge. I understand that following my Global Alliance term should any statements or answers be found to be false or information has been omitted, such false statements or omissions will be just cause for termination of my Global Alliance term. I further acknowledge that the photocopy of the documents attached shall be valid and accepted with the same authority as the original. If retained by the above referenced organization this authorization will remain in effect throughout my Global Alliance term.

Initials:

Please attach Documentation of Organization