Collaboration Application

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STEP 1: FILL OUT THE APPLICATION BELOW.

STEP 2: I WILL BE IN TOUCH WITH HOW WE CAN MIX UP SOME MAGIC TOGETHER; BY RECOMMENDING A SERVICE OR PROGRAM THAT SUITS YOUR NEEDS BEST.

Email *

Your name and pronouns... *

How did you find or hear about TheraPLAYoga (or me)?

If it was Google, tell me what you searched. If it was a referral, tell who should receive a THANK YOU note from me.

What attracted you to TheraPLAYoga? *

Have you read my policies on my website? *

Yes

Required

What do you represent? *

non-profit organization

business

healthcare professional/facility

Other:

Required

Name of organization, business, healthcare facility, etc AND your position/title... *

Website URL... *

Tell me a bit about yourself, your work, the people you serve, and why... *

How do you ensure your practices, resources, and services are ethical and equitable? *

Have you/your staff had trauma-informed training? *

Yes

What type of collaboration are you seeking? *

Is this a reoccurring event? *

Yes

Required

What is the budget for our collaboration? *

Check all that apply... *

I am eligible to receive grants. (If you choose this, continue checking all that apply).

I am NOT eligible to receive grants. (If you choose this, go on to next question).

I have received grants in the past.

This potential collaboration is being funded by a grant.

I am experienced in writing grants.

There is a grant writer on staff.

I would like you to write grant proposals for our collaboration.

Other:

Required

Where do you envision our collaboration taking place? *

I want you to come to my space.

In your studio

Virtual

Other:

What is the anticipated number of participants? *

What is the ideal start date? *

YYYY

What is your preferred time for this collaboration? *

What is the time duration/commitment for this partnership? (ex: 30 min, 1 hr, etc) *

Share a bit about community collaborations you've done in the past and/or current partnerships... *

Share potential challenges or barriers to us working together? *

Free space to share whatever else you want me to know...

ideas, info, grant specifics (if applicable),etc.

Ask me your questions, here.

Send me a copy of my responses.

Submit

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