TLC: The Love Continues — Community Partner Interest Form
Share how your organization can support TLC families through services, resources, referrals, funding, or in-kind support.
About You
Contact Name
*
First Name
Middle Name
Last Name
Organization/Company
*
Title
*
Email
*
example@example.com
Phone
*
Please enter a valid phone number.
Format: (000) 000-0000.
Website
Organization Type
*
Please Select
Nonprofit
Domestic Violence Organization
Mental Health Provider
Healthcare Organization
School/Education
College/University
Government Agency
Child Welfare Organization
Legal/Victim Services
Corporation/Business
Foundation/Philanthropy
Faith-Based Organization
Community Organization
Youth Organization
Individual Professional
Other
How Would You Like to Support TLC?
What types of support would you like to offer TLC?
*
Mental Health/Counseling Services
Grief Support
Youth Mentorship
Caregiver Support
Educational Support
Tutoring
College/Career Opportunities
Scholarships
Internships
Youth Enrichment
Sports/Recreation
Arts/Cultural Experiences
Financial Assistance
Emergency Family Assistance
Food/Essential Needs
Clothing
Housing Resources
Legal/Victim Advocacy
Benefits Navigation
Healthcare Services
Transportation
Birthday/Holiday Support
Event Experiences/Tickets
Technology
Professional Services
In-Kind Donations
Corporate Sponsorship
Grant/Philanthropic Support
Volunteer Support
Referral Partnership
Other
Please describe the resources, services, or opportunities you may be able to provide
Who do you currently serve?
*
Children ages 0–5
Children ages 6–12
Teens 13–17
Young Adults 18–22
Parents/Caregivers
Families
Other
What is your geographic service area?
*
City of Chicago
Cook County
Chicagoland
Illinois
Nationwide
Virtual
Other
Partnership Capacity
Would your organization be able to accept referrals from TLC?
*
Yes
Possibly—would like to discuss
Not currently
Are your services provided at no cost?
*
Yes
Some services are free
Sliding scale
Fee for service
Sponsorship/funding required
Not applicable
Do you currently have capacity to support TLC families?
*
Yes
Limited Capacity
Not Currently
Would Need to Discuss
Are there eligibility requirements?
*
Yes
No
How Else Can We Collaborate?
How else would you like to collaborate with TLC?
*
Providing Direct Services
Joining TLC Referral Network
Sponsoring TLC
Funding TLC
Donating Goods/Services
Hosting Experiences for Children/Families
Employee Volunteer Opportunities
Providing Professional Expertise
Supporting Research/Data
Advocacy/Systems Collaboration
Other
Why are you interested in partnering with TLC?
Anything else we should know?
Follow-Up
Preferred Contact Method
*
Email
Phone
Best Time to Contact
*
Morning
Afternoon
Evening
No Preference
Permission to Contact About TLC Partnership Opportunities
*
I grant Love & Protect Wisdom permission to contact me about TLC partnership opportunities.
LET'S PARTNER
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