Cocoa360 Engagement Form

Thank you for your interest in learning more about Cocoa360, and our award-winning farm-for-impact model.

As an organization working in rural and remote settings with limited resources and staff, engaging with you means time away from teaching students, treating patients, applying for grants, and speaking to our donors.

We receive a huge volume of requests so we want to make sure this is mutually beneficial for you and Cocoa360.

In order to understand your priorities and what you're looking for from an in-person visit to our campus or call with any of our staff, please complete the form below.

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Your name
Your email
Is this a request for an in-person visit or an online call?
What are you hoping to benefit from this engagement?
If other, please specify.
If donation, please clarify what type
if you want to learn more about our model, please confirm what actions you have taken so far.
Are there any specific clarifications you require about our work and model? Please specify
What would an ideal solution or outcome look like if you were to engage with our team?
We are an organization working in rural and remote settings with limited resources and staff. Engaging with you means time away from teaching students, treating patients, applying for grants, and speaking to our donors.

How do you intend to help us make up for a time with you?
If you intend to make an in-kind donation, please specify
(Please note we are only open to educational and clinical materials at this time)
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