Partnership Interest Form

Partnership Interest Form

For organizations interested in partnering with the Chances 4 Hope Women’s Reentry & Empowerment Program to support women returning from incarceration.
Organization Name
Contact Person Name

First NameLast Name
Email Address
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Website and/or Social Media Links
Organization Type
Location (City, State)
Brief Description of Your Organization
Partnership Role
Services/Resources Your Organization Can Offer

Other
If you selected 'Other', please describe:
Please provide details about the services/resources your organization can provide.
Can your organization offer short-term certifications or career pathways?
Are there any eligibility requirements for participants to access your services/resources?
Preferred Way to Collaborate
Best Days/Times to Connect
Additional Comments or Ideas
Should be Empty: