Self-identification Form

To access this form in other languages or formats, please click the “Accessibility and Language” on the top right of your screen. Then click the icon, to select a language.

Pour accéder à ce formulaire dans d’autres langues ou formats, veuillez cliquer sur « Accessibilité et langue » en haut à droite de votre écran. Cliquez ensuite sur l’icône pour sélectionner une langue.

Para acceder a este formulario en otros idiomas o formatos, haga clic en “Accesibilidad e idioma” en la parte superior derecha de su pantalla. Luego haga clic en el icono para seleccionar un idioma.

Para acessar este formulário em outros idiomas ou formatos, clique em “Acessibilidade e Idioma” no cantosuperior direito da tela. Em seguida, clique no ícone para selecionar um idioma.

Pou jwenn aksè nan fòm sa anan lòt lang oswa fòma, tanpri klike sou “Aksesibilite ak Lang” ki anlè adwat ekran ou a. Apre sa, klike sou ikòn pou chwazi yon lang.

You have rights. You are not alone. You deserve to be paid for your work, make your own choices, and live safely without fear.  You may be in an exploitative or trafficking situation if you answer yes to one or more of these questions.  

Know that answers to these questions are not necessary to receive a callback. Please feel free to leave your contact information below and an Outreach team member will be in touch with you.

Sometimes lies are used to trick people into accepting a job that doesn’t exist, or they get trapped in a job or situation they never wanted. Have you ever experienced this, or are you in a situation where you think this could happen?
Sometimes people make efforts to repay a person who provided them with transportation, a place to stay, money, or something else they needed. The person they owe money to may require them to do things if they have difficulty paying because of the debt. Have you ever experienced this, or are you in a situation where you think this could happen?
Sometimes people are not paid what they were told they were going to be paid, or their money has been withheld from them. Have you ever experienced this, or are you in a situation where you think this could happen?
Sometimes people do unfair, unsafe, or even dangerous work or stay in dangerous situations because if they don't, someone might hurt them or someone they love. Have you ever experienced this, or are you in a situation where you think this could happen?
Sometimes people are not allowed to keep or hold on to their own identification or travel documents. Have you ever experienced this, or are you in a situation where you think this could happen?
Sometimes people work for someone or spend time with someone who does not let them contact their family, spend time with their friends, or go where they want when they want. Have you ever experienced this, or are you in a situation where you think this could happen?
Sometimes people live where they work or where the person in charge tells them to live, and they’re not allowed to live elsewhere. Have you ever experienced this, or are you in a situation where you think this could happen?
Sometimes people have their access to food, medical care, and transportation withheld from them. Have you ever experienced this, or are you in a situation where you think this could happen?
Sometimes people are hurt or threatened, or threats are made to their family or loved ones, or they are forced to do things they do not want to do in order to make money for someone else or to pay off a debt to them. Have you ever experienced this, or are you in a situation where you think this could happen?
Sometimes people are told to lie about their situation, including the kind of work they do. Has anyone ever told you to lie about the kind of work you’re doing or will be doing?
This field is for validation purposes and should be left unchanged.

Support is available to you. We are here to help. 

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Additional resources:

  • National Human Trafficking Hotline: 888-373-7888

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The mission of Preble Street is to provide accessible barrier-free services to empower people experiencing problems with homelessness, housing, hunger, and poverty, and to advocate for solutions to these problems.

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