Economic Self-Sufficiency Program (ESSP) Host Form

Cohort Hosting & Sponsorship Interest Form

Thank you for your interest in partnering with Inspired Now Networks to empower individuals in marginalized communities to achieve economic independence and financial wellness. Please complete this form so we can connect with you about opportunities to host or sponsor a program cohort.
Organization / Business Information
Organization Business Name
Primary Contact Name

First NameLast Name
Phone Number
Please enter a valid phone number.
Email
example@example.com
Website
Interest in Partnership
Host a cohort at our site (provide space for workshops/sessions)Sponsor a cohort financially (funding, stipends, materials, etc.)Provide in-kind support (meals, supplies, marketing, etc.)Partner as a referral site (connect clients/community members)Other
Capacity & Preferences
Up to 10 participants10–20 participants20+ participants
On-site at my organizationMobile / community outreach unitVirtual (online sessions)No preference
Meeting room / classroomComputer lab or technology accessWi-Fi availableAccessible location (ADA compliant)Parking available
Sponsorship Commitment (if applicable)
Full Cohort Sponsor (covers all program costs)Partial Sponsor (co-funding with other partners)Program Supplies Sponsor (materials, meals, incentives, etc.)Other
Estimated Contribution (financial or in-kind):
Why are you interested in supporting the ESSP?
Any additional notes, questions, or ideas for collaboration?
Agreement & Next Steps

By submitting this form, you express interest in partnering with Inspired Now Networks to host or sponsor a cohort of the Economic Self-Sufficiency Program. A member of our team will follow up with you to discuss details and partnership opportunities.
Confirmation

BY ACKNOWLEDGING AND SIGNING BELOW, I AM DELIVERING AN ELECTRONIC SIGNATURE THAT WILL HAVE THE SAME EFFECT AS AN ORIGINAL MANUAL PAPER SIGNATURE. THE ELECTRONIC SIGNATURE WILL BE EQUALLY AS BINDING AS AN ORIGINAL MANUAL PAPER SIGNATURE.
Should be Empty:

Cohort Hosting & Sponsorship Interest Form

Interest in Partnership

Capacity & Preferences