Strategic Business Partnership Request Form
Section 1: Contact information
Name
*
First Name
Last Name
Company Name
*
Company Website
*
Organization Type
Please Select
Nonprofit or NGO
For Profit
Goverment
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
-
Area Code
Phone Number
Email
*
example@example.com
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Section 2: Partnership Information
Partnership Type (choose one)
*
Corporate Partnership
Grant Partnership
Government/Nonprofit Partnership (local/state/federal)
Non-Equity Strategic Alliance
Charitable Partnership
Educational Partnership (University, Trade Schools)
Other
What partnership opportunities are you interested in?
Branding for Impact
Community & Programs
Research & Development
Market Expansion
Sponsorship
Other
Have you partnered with IEJI in the past?
*
Please Select
Yes
No
Not Sure
Please briefly explain why your organization is interested in working with IEJI.
*
What are your anticipated goals for partnering with IEJI?
*
Submit
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