Become a HEADS UP VET Coalition Partner

Become a Coalition Partner
HEADS UP VET, a national coalition led by Veterans Collaborative, brings together community organizations, technology partners, and philanthropic leaders to improve awareness, screening, and support for Veterans experiencing undiagnosed head injury.

To become a Coalition Partner, please complete the form below. Potential Coalition Partners will receive an invitation to attend a Coalition Information Session. Attendance at one Coalition Information Session is required to join the coalition.

Sessions are hosted the first Wednesday of every month, at noon EST.

Learn More at www.veteranscollaborative.org/headsupvet, or reach out to our team at headsupvet@veteranscollaborative.org
Contact Information
Company/Organization Name:*
Legal Name
Organization's EIN Number:*
("None" if the question doesn't apply)
Organization Contact:*

First NameLast Name
Title:*
(CEO, Founder, SVP, etc)
Email:*
example@example.com
General Organizational Email:
example@example.com
Mailing Address:*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Organization Logo:

Please upload organizational logo.
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Website:*
("None" if the question doesn't apply)
Organization Instagram Handle:*
("None" if the question doesn't apply)
Organization LinkedIn Handle:*
("None" if the question doesn't apply)
YesNo
How did you learn about HEADS UP VET?*
What inspired you to join the HEADS UP VET Coalition?:
Optional: Responses may be used (with permission) for testimonials, impact stories, or coalition materials.
Very InterestedModerately InterestedNot InterestedUnsure
YesNo

Coalition Engagement

Choose the category that aligns best with your interests and role in the Coalition.
Community Partner (501c3, c4, c6)Ambassador Partner (501c3 with revenue <$50k)Philanthropic PartnerGovernment PartnerClinical PartnerOther
Category Descriptions:

Community Partner: Nonprofit organizations, academic institutions, and mission-driven organizations with subject matter expertise and/or direct engagement with military and veteran populations.

Ambassador Partner: Emerging mission-driven nonprofit organizations actively providing direct services, programs, or community engagement to Veterans, service members, and military families.

Philanthropic Partner: Organizations, foundations, corporations, or individuals who support the mission of HEADS UP VET through financial contributions or in-kind support.

Government Partner: Federal, state, or local government representatives participating in the coalition on behalf of their agencies.

Clinical Partner: Healthcare providers, clinicians, and medical or behavioral health organizations with expertise in brain health, head injury, or related conditions.

Other: For organizations or individuals interested in participating in the coalition in ways not captured above.

Coalition Partner Roles and Expectations
HEADS UP VET A Veteran Coalition is a working coalition focused on advancing early detection, awareness, coordination, and systems-level solutions related to Veteran and military-connected undiagnosed head unjury and brain wellness.

Veterans Collaborative serves as the convener, backbone organization, and administrative lead for the Coalition. VC is responsible for coalition governance, strategy alignment, coordination, compliance, and infrastructure.

HEADS UP VET Coalition Partners play a collaborative role in advancing early detection, prevention, and coordinated care for service members, Veterans, and their families. Participation is flexible and voluntary, allowing each organization to engage in ways that align with its mission, capacity, and priorities.

HEADS UP VET Coalition Partners Roles and Expectations may include:
- Early Detection & Pathways to Care
  Support the deployment and use of coordinated screening, assessment, and referral tools that improve early identification and timely access to care.
- Community Engagement & Trust
  Strengthen relationships within the Veteran and military community by fostering sustained participation, responsive support, and a spirit of good-faith collaboration.
- Recognition & Awareness
  Help elevate public understanding of brain health and related challenges through shared messaging, storytelling, and outreach.
- Advancing Coalition Priorities
  Contribute to collective impact through shared learning, coordinated action, and the pursuit of measurable outcomes.
- Learning & Collaboration
  Participate, as able, in periodic meetings, briefings, and working sessions (virtual or in person), and support thought leadership, pilot initiatives, and cross-sector alignment.
- Education & Support
  When appropriate, offer education and training to internal and external stakeholders, including staff, board members, constituents, and local communities.
Engagement is voluntary, and the level of participation may evolve over time based on each member’s capacity and interests.
YesNo
Participation in the HEADS UP VET Coalition Partner does not constitute endorsement by Veterans Collaborative or any Coalition Partner of any specific organization, product, service, or policy position.

Coalition Partners certify their organization is a legally formed entity operating in compliance with all applicable federal, state, and local laws. You further certify that your organization does not knowingly provide material support, funding, or resources to any individual or organization that is prohibited under U.S. law, including those listed on the U.S. Department of the Treasury’s Office of Foreign Assets Control (OFAC) Specially Designated Nationals (SDN) List or any other applicable sanctions or restricted parties lists.

You acknowledge and agree that all information submitted through Coalition Partner form is accurate to the best of your knowledge. You understand that Veterans Collaborative does not sell or monetize data and that participation in HEADS UP VET does not create a fiduciary, agency, or legal partnership relationship.

You further acknowledge that Veterans Collaborative reserves the right to review, suspend, or remove organizations from HEADS UP VET Coalition Partner if information is found to be inaccurate or if participation is inconsistent with legal, regulatory, or program requirements.

You certify that you are authorized to make this attestation on behalf of your organization.

Please review our Privacy Policy on how your data is used by Veterans Collaborative. If you need help, please reach out to support@veteranscollaborative.org.

By signing below, the Coalition Partner confirms they are able to complete this form on behalf of their organization.
Partner Representative:*

First NameLast Name
Partner Representative Signature:*
Date Signed:*

MonthDayYear
Date
Thank you! Please click submit to complete this form.

Thank you for completing this form and for your interest in working with the HEADS UP VET Coalition. If you have additional questions, please email headsup@veteranscollaborative.org.
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Become a Coalition Partner

Contact Information

Coalition Engagement

Community and Ambassador Partners:

Organizational Overview:

Support Strategies and Service Areas:

Philanthropic/Government/Clinical Partners:

Coalition Partner Roles and Expectations

Thank you! Please click submit to complete this form.