Partner Application
Become a Partner to champion the program and support community and youth development. Thank you.
Applicant Basic Information
Partner Interests
Accomodations
Community Partnership
Host Lectures/Webinars
Offer Paid or Unpaid Internships Opportunities
Offer Job Placement Opportunities
Offer Shadowing Opportunities
Offer Training Content
Run Trainings
Other
Applicant Name
*
First Name
Last Name
Business Address
*
Street Address
Street Address Line 2
City
Please Select
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
Email
*
example@example.com
Phone Number
*
Please, enter your phone number
Format: (000) 000-0000.
Preferred Communication
*
Phone
Email
Organization Website
Enter your company website, if available
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Screening Information
Why do you want to become a partner with our non-profit?
*
I want to give back
I want to contribute to a youth's success
I want to contribute to the growth of the African Community
Other
Will this be your first time partnering with a non-profit?
*
Yes
No
If no, in what capacities did your organization serve?
*
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Please provide any other information you believe would be important in the review of your application.
*
0/30
Are you willing to participate in events hosted by our non-profit?
*
Yes
No
Will you join the list of donors that provide financial support to our non-profit?
*
Yes
No
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Additional Information
How did you hear about the non-profit organization?
*
Employer
Friends
Family
Social Media
Other
How about referrals?
*
Yes
No
Referall Name #1
First Name
Last Name
Referral Contact #1
Please, provide phone number
Format: (000) 000-0000.
Referral Type #1
Mentee
Mentor
partner
Referall Name #2
First Name
Last Name
Referral Contact #2
Please, provide phone number
Format: (000) 000-0000.
Referral Type #2
Mentee
Mentor
Partner
Referrall Name #3
First Name
Last Name
Referral Contact #3
Please, provide phone number
Format: (000) 000-0000.
Referral Type #3
Mentee
Mentor
Partner
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