HEADS UP Coalition Interest Form
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  • HEADS UP Coalition Interest Form

  • 1. Contact Information

  • 2. Coalition Member Roles and Expectations

  • HEADS UP, A Veteran Coalition is a working coalition focused on advancing early detection, awareness, coordination, and systems-level solutions related to Veteran and military-connected brain health, wellness, and community support.

    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 Coalition Members 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.

    The HEADS UP Coalition Member 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.
    • Prevention & Education
      When appropriate, offer prevention-focused 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.

  • 3. Coalition Engagement

  • Coalition Engagement: Choose the category that aligns best with your interests.

    Community: Nonprofit organizations, including academic institutions, 501(c)(3), (4) and (6) organizations, with subject matter expertise and/or direct support/engagement with military and veteran populations.

    To qualify as a Community member, an organization must meet the following criteria: 1) Good Standing at a 501c(3) public charity

    Philanthropic: Organizations who intend to contribute financially to the Face the Fight Charitable Fund or contribute in-kind donations of talent and/or products and services.

    To learn more about the Heads Up Charitable Fund, please visit us at Heads Up official website. 

    Government: Individual federal, state or local government employees who participate in the FTF Coalition on behalf of their respective government agencies.

    Please email headsup@veteranscollaborative.org if you’re interested in multiple types of engagement or would like to learn more.

  • 4. Terms and Conditions

  • 1.0 Purpose

    The Coalition member agrees to serve in a non-governing capacity, contributing stratgic support to advance the Coalition’s shared goals.

    This role is voluntary only and does not confer fiduciary responsibility, governance authority, or decision-making power on behalf of Veterans Collaborative or the Coalition.

    2.0 Term and Termination

    The HEADS UP Coalition is established as a five (5)-year working coalition, led by Veterans Collaborative, to support sustained collaboration and long-term impact.

    The Agreement shall commence on the effective date and shall remain in effect until terminated by either party. Either party may terminate this Agreement at any time, with or without cause, by providing written notice. Upon termination, the Advisor agrees to cease representing themselves as part of the HEADS UP Coalition.

    3.0 Compensation

    The Member serves in a voluntary, unpaid capacity. No compensation, benefits, or reimbursements are provided.

    4.0 Independent Status

    The Member is not an employee, agent, board member, or legal representative of Veterans Collaborative. Nothing in this Agreement creates an employment, partnership, or joint venture relationship.

    5.0 Confidentiality 

    The Advisor agrees to maintain the confidentiality of any non-public or sensitive information shared through Coalition participation, including but not limited to strategy discussions, partner information, draft materials, and internal data.

    This obligation survives termination of this Agreement.

    6.0 Intellectual Property

    • The Member retains ownership of all pre-existing intellectual property.
    • Any materials or contributions created at the request of Veterans Collaborative for Coalition purposes may be used by VC to support Coalition activities without restriction.

    7.0 Public Representation & Use of Likeness

    The Member grants permission for Veterans Collaborative to:

    • List the Member’s organization as a HEADS UP Coalition Member;
    • Use this information in VC and Coalition materials, including websites, reports, presentations, and communications.

    The Advisor may request updates or removal of public-facing information at any time.

    8.0 Conflict of Interest

    The Member agrees to disclose any actual or potential conflicts of interest that could reasonably be perceived to influence their participation or advice.

    9.0 Governing Law

    This Agreement shall be governed by, subject to, and construed in accordance with the laws of the Commonwealth of Virginia.

    10.0 Entire Agreement

    This Agreement represents the full and complete understanding between the parties with respect to the subject matter herein. It supersedes any prior agreements or understandings, whether oral or written.

  • 5. Agreement to Terms

    Thank you for completing this form and for your interest in working with the Heads Up Coalition. A member of the Heads Up team will be in touch with you shortly to discuss collaboration. If you have additional questions, please email headsup@veteranscollaborative.org.
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  • By signing below, the Member confirms, understands, and agrees to the terms set forth in this Heads Up Coalition Agreement.

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