JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Honesty for Ohio Education Partner Form
Sign in to Google
to save your progress.
Learn more
Tell Us About Yourself
Type of Partner
Individual
Organization
Clear selection
INDIVIDUAL PARTNER
Complete if you do not represent an organization or business
First and Last Name
Your answer
City
Your answer
County
Your answer
Email
Your answer
Phone
Your answer
Affiliated School, School District, or Higher Ed Campus
Your answer
What is your role in education?
Student
Family of Student
Educator
Administrator or Staff
School Board Member
Concerned Resident
Who referred you to Honesty? Name, Organization
Your answer
ORGANIZATION PARTNER
Complete if you are representing an organization or business
Name of Organization
Your answer
Brief Description of Organization
Your answer
Organization Website
Your answer
Organization Street Address
Your answer
City
Your answer
County
Your answer
Are you a national, state, or local organization?
Your answer
Which Ohio region(s) does your organization serve? (check all that apply)
Northeast
West
Central
Southeast
Southwest
All
Type of work: (select all that apply)
Education
Youth Leadership / Youth Services
Advocacy
Racial and Social Justice
LGBTQ+ Community Services
Democracy
Legal Justice System
Faith
Healthcare / Behavioral Health
Legal / Attorney
Government
Business
Media / Journalism
Arts & Culture
Other
Which group(s) do you work with:
Students
Educators
School Board Members
School Administrators
Parents/families/caregivers
Other
Organization Tax Status:
501 (c)(3)
501 (c)(4)
501 (c)(5)
Who referred you to Honesty? Name, Organization
Your answer
Organization Representatives
Organization Leader: First and Last Name
Your answer
Organization Leader: Title
Your answer
Organization Leader: Email
Your answer
Organization Leader: Phone
Your answer
Main Point of Contact: First and Last Name
Your answer
Main Point of Contact: Title
Your answer
Main Point of Contact: Email
Your answer
Main Point of Contact: Phone
Your answer
Weekly Coalition Meeting Attendee: First and Last Name
Your answer
Weekly Coalition Meeting Attendee: Title
Your answer
Weekly Coalition Meeting Attendee: Email
Your answer
Weekly Coalition Meeting Attendee: Phone
Your answer
Policy Leader: First and Last Name
Your answer
Policy Leader: Title
Your answer
Policy Leader: Email
Your answer
Policy Leader: Phone
Your answer
Form Completed By: (Name, Title, Org, Email)
Your answer
Thank you for joining the Honesty for Ohio Education community! A representative from the Honesty Team will contact you shortly.
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of honestyforohioeducation.org.
Report Abuse
Forms
