Partnership Interest Form
Thank you for your interest in partnering with Inspired Now Networks. Our mission is to increase access to health, education, and economic opportunity through community-led events, resource navigation, and strategic partnerships. Please complete this form so we can explore ways to work together..
Organization/Company Name
*
Primary Contact
*
First Name
Last Name
Organization Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
E-mail
*
example@example.com
Phone Number
*
-
Area Code
Phone Number
Type
*
Please Select
Community/Faith Org
School/College
Employer
Health system/clinic
Foundation/Corporate
Government/Public health
Individual
Other
Website / Social Link
Areas of Interest (Check all that apply)
Hosting a program cohort (provide space or facilities)
Sponsorship (financial or in-kind support)
Providing workshops, training, or guest speakers
Offering wraparound services (health, wellness, childcare, etc.)
Serving as a referral partner
Volunteering staff or community members
Other
Capacity & Preferences
Preferred Partnership Type:
One-time event
Ongoing program support
Both
Preferred Program Delivery:
On-site at your organization
Mobile/Community Outreach Unit
Virtual/Online
No Preference
Resources You Can Provide (if hosting):
Meeting space
Technology/Wi-Fi access
Refreshments/meals
Parking/transportation support
Other
Sponsorship (if applicable)
Sponsorship Level Interested In:
Full program/campaign sponsor
Cohort sponsor (program costs, materials, participant support)
Event sponsor (meals, incentives, giveaways, etc.)
Other
Estimated Contribution (financial or in-kind):
Agreement
By submitting this form, you are expressing interest in partnering with Inspired Now Networks. A member of our team will follow up to discuss opportunities.
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