Become a HEADS UP VET Coalition Partner
  • Become a Coalition Partner

  • Image field 23
  • 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

  • Browse Files
    Drag and drop files here
    Choose a file
    Cancelof
  • Do you have experience serving military or Veteran populations?*
  • Coalition Participation Interest:
  • Are you interested in serving on a Heads Up Vet Committee?
  • Coalition Engagement

    Choose the category that aligns best with your interests and role in the Coalition.
  • Engagement Category:*
  • 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.

  • Community and Ambassador Partners:

  • Community Partner: Community Partners contribute knowledge, programming, and local ecosystem collaboration that strengthens awareness, screening, and support for Veterans experiencing undiagnosed head injury.

    Eligibility Requirements:

    • Organization in good standing as a 501(c)(3), 501(c)(4), or 501(c)(6)
    • Minimum annual revenue of $50,000
    • Operational for at least two years
    • Listed on GuideStar / Candid or Charity Navigator

    Ambassador Partner: Ambassadors help advance local awareness, education, and resource navigation within their communities and serve as trusted connectors to the HEADS UP VET ecosystem.

    Eligibility Requirements:

    • Organization in good standing as a 501(c)(3) public charity
    • Listed on GuideStar / Candid or Charity Navigator
  • Organizational Overview:

  • Please select the type of 501(c)3 Organization you represent:*
  • Please select the type of Nonprofit Organization you represent:*
  • Current Operating Budget:*
  • Would you be interested in receiving Capacity Building Technology as part of HEADS UP VET Coalition?*
  • Do you require a DD214 in order to provide services?*
  • Do you require a disability rating in order to provide services?*
  • Are your services free for those who qualify?*
  • What social determinants of health do your programs address for our veteran and military connected community?*
  • What states in the USA does the Organization serve?
  • What populations are served by the Organization?*
  • Please identify the specific needs of veteran and military connected communities in your service region. (Select up to 3)*
  • Support Strategies and Service Areas:

    Please complete to the best of your ability and include close estimates. If you are unsure about the question or it does not apply to you leave it blank.
  • Click here to find definitions and examples of each support strategy.

  • What are the Organization's Primary Support Strategies? (Select up to 3 ways that best describe how you execute the mission of the Organization.).
  • Please select all of the Service/Issue Areas addressed by your Organization. (Select all that describe what the Organization works on.)
  • Philanthropic/Government/Clinical Partners:

  • Veterans Collaborative welcomes the opportunity to connect with you about contributing to the HEADS UP VET Coalition.

    Please complete the information below, or reach out directly at HeadsUpVet@veteranscollaborative.org to explore partnership opportunities.

     

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

    Support may include:

    • Financial contributions
    • Pro-bono expertise
    • Products, services, or event sponsorship

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

    Government partners help align public resources, research, and policy engagement with community-driven solutions to improve Veteran brain health and early support systems.

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

    Eligible organizations include:

    • Licensed clinical providers (individual or organizational)
    • Healthcare systems, clinics, or private practices
    • Behavioral health and rehabilitation providers

    Criteria:

    • Appropriate licensure and credentials in good standing
    • Experience serving military and/or veteran populations preferred
    • Commitment to evidence-informed practices and collaboration

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

  • Please select the option that best reflects your interest:*
  • Do you have expertise or provide services related to brain health or head injury?*
  • What industry or sector best represents your Organization?*
  • Are you authorized to represent your Organization in this coalition?*
  • 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.

  • I have read and agree to the Coalition Partner Roles and Expectations.*
  • 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 submitting their name below, the Coalition Partner confirms they are able to complete this form on behalf of their organization. 

  • Date Signed:*
     / /
  • 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.
  • Should be Empty: