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Partner With Alice’s Heart
Share your organization details and partnership idea so we can follow up about next steps.
About Your Organization
Organization Name
*
First Name
*
Last Name
*
Title/Role
*
Email
*
example@example.com
Phone
Please enter a valid phone number.
Format: (000) 000-0000.
Website
City
*
State
*
Organization Type
*
Please Select
Healthcare System/Provider
Community-Based Organization
Nonprofit
Faith-Based Organization
Corporation/Business
Foundation/Funder
Government/Public Agency
Educational Institution
Civic/Community Organization
Professional Association
Other
Partnership Interest
How are you interested in partnering?
*
HeartStrong Mothers
Olivia’s Herd Diaper Bank
Triad Baby Shower
Maternal health education
Community outreach/health events
Sponsorship
Financial support/grantmaking
In-kind/product donations
Healthcare/clinical partnership
Refer mothers/families to Alice’s Heart
Serve as a community referral resource
Host a program/workshop/event
Volunteer opportunities
Speaking/educational programming
Collaborative grant opportunities
Other
Tell us about your partnership idea and how you envision working with Alice’s Heart.
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Geographic area/community served
About the Opportunity
Is there a specific timeline?
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Yes
No
Not sure
Important dates or timeline
*
Would this partnership potentially include financial or in-kind support?
*
Financial support/sponsorship
Products, supplies, or equipment
Professional services/expertise
Facility, event space, or resources
Possibly—we’d like to discuss
No
Not sure
Please briefly describe the potential support.
How did you hear about Alice’s Heart?
*
Referral/colleague
Community event
Healthcare/community partner
Social media
Alice’s Heart website
Search engine
Presentation/speaking engagement
Current/previous partner
Other
Let’s Connect
Preferred contact method
*
Email
Phone
Either
Anything else you’d like us to know?
Acknowledgment
*
I understand that submitting this form expresses interest and does not create a formal partnership, sponsorship, funding commitment, or contractual relationship with Alice’s Heart Inc.
Let’s Partner 💜
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