Corporate FARMily Partnership Requests
Harlem Grown is changing the way we partner with you! If your company is interested in partnering with Harlem Grown and joining our Corporate FARMily please fill out this form. We review partnership requests on a rolling basis. Please allow up to two weeks for a response.
1. Full Name of your Company/Organization
*
2. Organization 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
3. Your Name
*
First Name
Last Name
4. Your Job Title
*
5. Email
*
example@example.com
6. Phone Number (Mobile preferred): In the first box, enter the country code (1) and in the second box, without any dashes, enter your full phone number including area code.
*
-
Country Code
Phone Number
ARCHIVED PHONE DOES NOT WORK: 6. Phone Number (mobile phone number preferred)
*
Please enter a valid phone number.
Is there anyone else in your team you would like to include in this conversation?
*
Yes
No
Colleague Name
*
First Name
Last Name
Colleague Title
*
Colleague Email
*
example@example.com
Colleague Mobile Phone Number
*
-
Area Code
Phone Number
Have you or your company worked with Harlem Grown in the past?
*
Yes
No
If so, in what capacity?
*
Is your company interested in building a long-term partnership with Harlem Grown?
*
Yes
No
What are your company’s primary partnership goals? (Select all that apply)
*
Strengthen Your Corporate Social Responsibility (CSR) Impact
Boost Employee Engagement & Brand Loyalty
Enhance Your Brand’s Visibility & Reputation
Drive Meaningful & Sustainable Change
Which of Harlem Grown’s focus areas aligns most with your company’s values? (Select all that apply)
*
Fresh Food Access
Youth Development & Education
Sustainability & Environmental Justice
Community Building & Wellness
What are you most interested in gaining from this partnership? Is there anything else we should know about your company’s interest in partnering with Harlem Grown?
*
Is there anything else we should know about your company’s interest in partnering with Harlem Grown?
How did you hear about us?
*
Email
Flier
Instagram
Facebook
Harlem Grown Website
Google
Previous Service Day
Word of Mouth
Newsletter
News Article
Harlem Grown Staff
Date
/
Month
/
Day
Year
Date
7. How many volunteers will participate in your Day of Service?
*
7. [ARCHIVED] How many volunteers will participate in your Day of Service?
*
5 people
10 people
8. [ARCHIVED] We offer a limited number of corporate group volunteer sessions from April through October. Please choose your preferred day of the week, and we will do our best to accommodate your preferences.
Tuesday
Wednesday
Thursday
Friday
8. [ARCHIVED] We offer a limited number of corporate group volunteer sessions from April through October. Please choose your preferred day of the week, and we will do our best to accommodate your preferences.
Tuesday
Wednesday
Thursday
Friday
9. [ARCHIVED] Please choose your preferred month below.
April
May
June
July
August
September
October
9. [ARCHIVED] Please choose 3 preferred dates below.
1st Preferred Date:
*
/
Month
/
Day
Year
Date
2nd Preferred Date:
*
/
Month
/
Day
Year
Date
3rd Preferred Date:
*
/
Month
/
Day
Year
Date
10. [ARCHIVED] Would your company be interested in building a long-term partnership with Harlem Grown beyond volunteering?
Yes
No
Service Request Name (auto-calculated)
Record Type
Program ID
Submit
Should be Empty: