EHCEC Partner Interest Form

Please complete and submit this form to partner with us. A representative will contact you within two business days.

Organizational Information

Company/Organization*

Phone Number*

Street Address*

State*

City*

Zip Code*

Website URL

How would you like to partner with EHCEC?

Please select from the following options to indicate how you would like to partner with EHCEC. Your choice will help us understand your interests and how we can collaborate effectively.

Strategic Partnership: Explore the benefits and opportunities of becoming an EHCEC strategic partner.

Research and Development: Collaborate on research projects, innovation, and development of new solutions.

Community Engagement: Engage with the community through joint events, programs, or volunteer efforts.

Sponsorship: Provide financial or in-kind support for EHCEC's programs or events.

Educational Partnership: Work together on educational programs, workshops, or seminars.

Distribution Partner: Assist in distributing EHCEC's products or services to expand reach and impact.

Other: Please specify if you have a different type of partnership in mind.

Please select all the categories that align with your interests for potential partnership opportunities with us.

Community Health & Safety: Including programs like Health Fairs, Disaster Preparedness Training, Mental Health Awareness Training, and other initiatives aimed at improving community health and safety.

Community Engagement & Partnerships: Including Community Organizing Academy, Resident Leadership Program, Distribution of Food, Clothing, School Supplies, Seasonal Holiday, Digital Equity Workshops, Financial Assistance, and broad initiatives for community engagement and partnerships.

Civic Leadership & Advocacy: Encompassing Voter Registration, Civic Engagement Events, Civic Leadership & Advocacy programs, and efforts to promote civic leadership and community advocacy.

Housing & Economic Opportunity: Covering areas such as Small Business Development, Financial Education, Workforce Development, Home Ownership Education and initiatives to enhance housing access and economic opportunities.

Other: Please specify if you have a different area of interest or a specific program in mind.

Representative Information

First Name*

Last Name*

Work Email*

Phone Number*