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FBA Partner Application Form

Find support and encouragement in alliance with others

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Lead Type*
Check that All of the Below Apply to You before continuing to fill out the application:
Check that All of the Below Apply to You before continuing to fill out the application:*
- I am NOT a freedom business owner or staff
- I would like to offer my expertise and time to help the freedom business movement
- I am applying as an individual. (If applying as an organization or business please reach out to us on the contact page here.)
Note: Visits to freedom businesses with FBA require a personal and professional reference before the trip.
1. How did you learn about FBA?
How did you learn about FBA?*
- Via the FBA Website/Web search
- Via an FBA member, affiliate, or partner
- Other (Please Describe)
FBA member, affiliate, or partner name:
Please describe:
2. Profile Information:
First Name
Last Name*
Job Title
Email
Mobile #
Work #
Skype ID
Residence City
Residence State
Residence Country
Nationality
Profession
3. Gender:
Gender
4. Age Range:
Age Range
5. Languages spoken with some fluency (include native language):
Languages spoken with some fluency
6. Roles Interested In (typically not paid positions):
Roles Interested In (typically not paid positions)
- FBA Administration
- FBA Sub Group Leader
- FBA Researcher
- FBA Writer/Editor
- FBA Networking
- FBA Funding
- Business Adviser: Marketing & Sales
- Business Adviser: Web & Media
- Business Adviser: Product Development/Design
- Business Adviser: Logistics
- Business Adviser: Materials Sourcing
- Business Adviser: Retailing & Pricing
- Business Adviser: Wholesaling
- Business Adviser: Quality Control
- Business Adviser: Customer Service
- Business Adviser: Legal Matters
- Business Adviser: Financial Mgmt
- Business Adviser: Fundraising/Investing
- Business Adviser: Strategy
- Business Adviser: Human Resource Mgmt
- Other (Please Specify)
Other Roles Interested In (typically not paid positions)
7. Organization/Business you work for/with (if any):
Work For Organization name:
Work For Organization Website:
Work For Business Activity Start Year:
8. What type of business/organization do you most identify with?
What type of business/organization do you most identify with?
- Alliance or Network of Organizations or People
- Business
- Hybrid NGO/Business
- Non-Profit/NGO
- Government agency
9. What issues do you have experience in?
What issues do you have experience in?
- Trafficking/Exploitation Restoration
- Trafficking/Exploitation Prevention
- Trafficking/Exploitation Rescue
- Prostitution Recovery (non-trafficked persons)
- Addiction
- Domestic Abuse
- Forced Labor
- Prison Recovery
- Orphans
- Other (Please Specify)
Other What issues do you have experience in
10. Do you have experience in any of the following areas?
Do you have experience in any of the following areas?
- Accessories
- Agriculture
- Apparel
- Energy
- Food & Beverage
- Hospitality & Tourism
- Industrial Goods
- Jewelry
- Services
- Other (Please Specify)
Other Do you have experience in any of the following areas
11. Notes/Comments/Questions:
Notes/Comments/Questions:
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Phone

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Which type of Freedom Business do you lead?

4 Types of Freedom Business

Primary Freedom Business Type

Freedom Business EnterpriseFreedom Business ChampionFreedom Business StartupFreedom Business InitiativeOtherRefer to the diagram above to make your selection

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