CPIN Course Application Form

Because CPIN participants may have access to sensitive information and support child protection efforts, all applicants are required to complete a background screening. This process helps maintain the integrity of the program and fosters a safe, trusted environment for CPIN participants, partner organizations, and the communities we serve. Personal information collected during the application process is used solely for identity verification and background screening purposes and will be handled with appropriate care and confidentiality.

First name

Last name

Date of Birth

Month

Day

Year

Email

Phone

Street Address

City

State

Zip Code

Have you ever been convicted of a felony, are currently under investigation for a criminal offense, or have any history of restraining orders or charges related to violence or exploitation?

Yes

No

If yes, please briefly explain

I consent to CPIN conducting a background screening for the purpose of participation.

A requirement for acceptance into the CPIN Course is that you must have successfully taken our approved Child Trafficking Awareness Course, either online or in-person.

I completed the approved Child Trafficking Awareness Course:

Online through Unit3/kidrescue.org

In-person course

In-Person Child Trafficking Awareness Course Administrator

Tell us about yourself or upload your Bio

Bio upload

Why do you want to be part of the CPIN?

________________________________

To complete your application for enrollment in the CPIN Course, please download the CPIN Participation Agreement, carefully review its contents, and sign the document to indicate your agreement. Once signed, upload the completed form using the button below to continue the application process.

Please print, sign, and date the agreement, then upload it here

I have reviewed and agree to the CPIN Participation Agreement and understand that acceptance is required for participation.

A project by Unit3 Action Inc.

Support CPIN

Welcome to the CPIN Course enrollment process. This application is for individuals who have completed an approved Child Trafficking Awareness course and wish to participate in the Child Protection Intelligence Network.

CPIN Course Application Form

________________________________

To complete your application for enrollment in the CPIN Course, please download the CPIN Participation Agreement, carefully review its contents, and sign the document to indicate your agreement. Once signed, upload the completed form using the button below to continue the application process.