What organization do you represent (write "individual" if none)? *
Your answer
What is the best way to contact your organization (or you if an individual)? Please provide details (i.e. phone number, website, email, etc.) *
Your answer
Website (if applicable)
Your answer
Do you distribute resources from your location? If so, what is the street address where this happens? (If you do not distribute resources, please state none.) *
Your answer
Alternate Contact for Your Organization (please include name and contact information). If none, please answer “none”. *
Your answer
What programs, activities, initiatives, etc are you or your organization involved in? *
Your answer
What need (or needs) is your organization currently experiencing the most?
Your answer
Is it ok to share your email address with other in this group for the purposes of community building and collaboration opportunities? *
Is it okay to share information you share about your organization with others in this group for the purposes of community building and collaboration opportunities? *
Is it okay to make available the information you share about your organization as a resource to members of our community that may personally utilize or refer others to your organization's resources *