Comfort Homesake Partnership Interest Form

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Thank you for your interest in partnering with Comfort Homesake. Please complete this form to help us learn more about your organization and how we can collaborate.

Organization Name *

Contact Person Name & Title *

Email Address *

Phone Number *

Website (if applicable)

Organization Address

🤝 Partnership Details

What type of partnership are you interested in?

Health education & training

Referral exchange

Research or internship placement

Volunteer collaboration

Briefly describe your organization’s mission and the communities you serve.

What goals or outcomes would you like to achieve through this partnership?

Are there specific services, populations, or programs you’d like to align with at Comfort Homesake?

Are you interested in co-applying for funding opportunities with a partner? (Multiple choice)

Yes

Maybe

Other:

Clear selection

Would your organization be open to sharing resources (e.g., space, outreach, staff)?

Yes

Maybe

Other:

Clear selection

Any additional comments or notes you’d like to share?

Submit

Clear form

Never submit passwords through Google Forms.

This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy

Does this form look suspicious? Report

Forms