Community Partner Interest Form

Full Name

Email Address

Name of Organization

Industry of Organization

Website

Key Contact Full Name

Key Contact Email Address

Key Contact Phone Number

What resources do you have available for the Habesha community? What are the costs associated with your program(s)?

What type of partnership are you interested in?

Would you like to be included on our website as a Community Partner? (if individual, leave blank)

If yes, please upload a logo

How did you hear about us?

Anything you'd like to share with us prior to a kick off call?