Section 1: Organization Information
Name of Organization
Partner's Address
Partner's Address Line 2
Partner's City
Partner's State
Partner's ZipCode
Partner's Contact Person
*
Partner's Contact Email
*
Partner's Contact Phone Number
*
Partner's Website (if any):
Section 2: Organization Profile
Please specify your sector (check all that apply):
College/University
Non-profit Organization
Sports Team/League
Government Corporation
Healthcare Provider
Other (please specify):
Section 3: Partnership Interests
Please describe the nature of the partnership you are seeking with Rise and Reach Project:
Section 4: Previous Partnership Experiences
Please list any previous partnership experiences your organization has had, if any:
Section 5: Other Relevant Information
Please provide any other relevant information that you believe would be helpful in our evaluation:
Please sign and date below to confirm that all the information provided is accurate.
Partner's Signature
Clear
Date Signed
Submit
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