Connection Request
Thank you for your inquiry! Please take a few minutes to answer all questions to help us learn more about your organizational needs. We review all incoming requests during a  weekly meeting. Please allow 10 business days for us to respond with potential next steps. If this request is in response to a crisis, please indicate that below. 
Sign in to Google to save your progress. Learn more
Email *
Today's Date *
MM
/
DD
/
YYYY
Name of organization? *
Name of contact person? *
Please tell us the purpose and desired outcomes of this request? *
Desired date/s connected to your request? (Example: In need of a training by X date, contract/budget timelines, etc.) *
If requesting a training or event, how many participants are you expecting to attend? *
Is this inquiry in response to a recent event/challenge/crisis that your organization has faced? If so, please share any important details we might need to know so we can do our best to respond  appropriately.
Do you have a budget for this request? *
Anything else you would like for us to know?
A copy of your responses will be emailed to the address you provided.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
This form was created inside of Portland State University. Report Abuse