Volunteer and Community Partner Form

Thank you for taking the first step toward becoming a part of Favored's community and actively working to end PMAD!
First & Last Name*
Email*
example@example.com
Status

Needs to be contacted
Profession/Title*
Organization
Please specify partnership interest(s).*

CounselingLife Skills Program CoachSupport Group FacilitatorDoula ServiceOutreach in the communityOther
What Other Service Would You Like to Provide or Be a Referral For?
What's Your Why?*
Would you like your name/company to be noted on Favored's community partnership page?*

YesNot at this time
If so, please upload your logo to be added to Favored's website as a Community Partner along with a headshot to be listed as a team member.

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Type a question*

	YES	NO	INITIALS
You are an Organization/Company authorized representative?
You are authorized to make decisions for the Organization/Company?
You agree that your Organization/Company will assist at Events/Programs scheduled by you?

You acknowledge and agree to support the values and mission of Maternal Matters Favored, which include practices informed by Christian principles relating to maternal support and family well-being
Signature*

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Please sign this document assuring that the information given above is correct.
Please verify that you are human*
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