Thank you for your desire to learn more about Sharing One Love. Please fill out this form to help us better understand how Sharing One Love can assist your program. You can also call at 786-565-8677 or email at info@sharingonelove.org. Primary ContactThis information will be used to set-up your account. It will not be shared on any public database. First Name * Last Name Phone Number * Email * Organization Name * Phone Number * Website Street Address City State/Province * Postal Code Details and ResourcesHelp us better understand your needs by describing your organization's set of anti-trafficking activities, resources and/or services. Resource Designation * Appointment CoordinatorCareer CounselingChiropractorCoalition or Taskforce GroupCosmetology (hair cuts etc)Counseling ServicesDental ServicesDrop-in CenterDrug/Alcohol RehabEmergency HousingFitness CoachFood and SuppliesInterpretation ServicesLegal ServicesMedical ServicesMental Health CounselingMentorNutrition ServicesOBGYNOther (enter details in notes)Paid Internship OpportunityPhysical TherapyPsychological ServicesReal EstateTattoo RemovalVictim ServicesVictim Services for Minors OnlyLaw EnforcementAwareness and Prevention Languages Spoken CreoleEnglishFrench (incl. Patois, Cajun)French CreolePortugueseRussianScandinavianSpanishGermanGreekItalianPersianUrduYiddishChineseJapaneseKoreanLaotianMiao HmongMon-Khmer CambodianTagalogThaiVietnameseOther Asian languagesNavajoOther Native North American languagesNigerianArabicHebrewUndeterminedSign Language AmericanSign Language OtherHearing lossSpeech Loss Details on Resource
