Partner & Resource Network Registration Form

Partner & Resource Network Registration Form

Connecting organizations. Strengthening resources. Building healthier communities.
Join a growing network of community organizations, agencies, schools, businesses, and service providers working together to recognize needs earlier, reduce barriers, and connect residents with meaningful support.
01. Organization & Contact Information
Organization Name
Program or Service Name
Primary Contact
Title / Role
Email
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Website
Organization Address
County or Counties Served
Geographic Service Area

Partner & Resource Network Registration Form

Connecting organizations. Strengthening resources. Building healthier communities.
Join a growing network of community organizations, agencies, schools, businesses, and service providers working together to recognize needs earlier, reduce barriers, and connect residents with meaningful support.
03. Partnership & Community Collaboration
Illinois C.A.R.E.S.TM serves as a community connector, educator, and convener. Tell us how we can work together without duplicating the valuable services already available.
How would you like to collaborate? (Select all that apply)
What barriers or unmet needs do you see in the community?
Additional comments or coordination notes
Should be Empty: