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Aging Forward Alliance: Interest Form

We’re excited to learn more about your organization and the work you’re doing to support older adults in your community. The information you share helps us understand your mission, programs, and approach. As we continue growing the impact of the Aging Forward Alliance, getting to know each organization’s story helps us see where we can align, collaborate, and support one another. An Aging Forward representative will review your form and contact you regarding the next steps in joining the Aging Forward Alliance. 

Organizational Name:

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Contact Name:

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Contact Title:

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Contact email:

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Organization street address:

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Organization city:

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Organization state:

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Organization zip code:

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Organization phone number:

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Organization website:

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Year organization founded:

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Number of paid staff:

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Number of active volunteers:

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Organizational Structure *

How does your mission align with the Aging Forward Alliance's mission — to connect leaders and scale solutions so every older adult can thrive in community?

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Tell us about the community you serve (geography, demographics, unique needs, etc.). *

Programs & Services Provided

(Check all that apply)

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Required
How did you hear about the Aging Forward Alliance? *

What are you hoping to gain or contribute through a connection with the Aging Forward Alliance?

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Affiliate Fee Schedule (2026)

Organization Income                               2026 Affiliate Fee

Income < $10,000                                     $125

Income > $10,000 and < $100,000         $200

Income > $100,000 and < $250,000       $300

Income > $250,000 and < $500,000       $400

Income > $500,000                                    $550

Rates subject to change. Fees are billed annually in January. Use “total income” from page 1 of your IRS Form 990 or 990-EZ.

For questions or assistance, contact us:

Phone: (816) 960-2022

Email: staff@aging-forward.org


Thank you for your interest in the Aging Forward Alliance! 

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