Request edit access
WHIS Partnership & Collaboration Interest Form
Submit your interest in collaborating with WHIS to promote health innovation and wellbeing.

We’re always looking to work with innovative organizations and individuals who share our vision for advancing health, wellbeing, and innovation. Whether you’re interested in co-creating products, exploring membership opportunities, sponsoring events, or developing new initiatives with WHIS, this form helps us understand how we can collaborate.

Existing WHIS members are given priority, as we aim to strengthen and grow our community of partners.

By completing this form, you’ll help us explore ways to work together that create meaningful impact for our members and the wider community.

By submitting this form, you agree to the WHIS Privacy Policy: www.whis.world/privacy-policy.

Sign in to Google to save your progress. Learn more
Email *
Section 1: About You / Your Organization
Name of Organization / Individual
Type of Organization
Clear selection
Website / Social Media Links
Primary Contact Name & Title
Email Address
Phone Number
Location / Headquarters
Are you a current WHIS Member?
Clear selection
Section 2: Areas of Interest (Select all that apply)
Description of 'Other' Area of Interest (if selected)
Section 3: How We Can Work Together - Collaborative Partnerships / Revenue Sharing
Briefly describe your product, service, or initiative (for Collaborative Partnerships)
How you envision working with WHIS (for Collaborative Partnerships)
Proposed model or approach (optional) (for Collaborative Partnerships)
Section 3: How We Can Work Together - Membership Programs
Type of membership or subscription model (for Membership Programs)
Benefits for WHIS members (for Membership Programs)
Target audience (for Membership Programs)
Section 3: How We Can Work Together - Product or Service Co-Creation
Brief description of your product/service (for Co-Creation)
Stage of development (for Co-Creation)
Clear selection
How WHIS could contribute or support (for Co-Creation)
Section 3: How We Can Work Together - Event or Brand Collaboration
Type of event, activation, or opportunity (for Event/Brand Collaboration)
Potential benefits for WHIS audience (for Event/Brand Collaboration)
How you envision collaborating with WHIS (for Event/Brand Collaboration)
Section 4: Alignment & Impact
How does your work align with WHIS’s mission to promote health innovation, prevention, and wellbeing?
How do you see this collaboration benefiting WHIS, its members, and the wider community?
Section 5: Resources & Support
What resources or support can you contribute to this partnership? (Personnel, technology, funding, expertise, etc.)
Estimated timeline or key milestones
Any risks or considerations we should be aware of
Section 6: Past Collaborations / References
Examples of previous partnerships or collaborations (if any)
Metrics, outcomes, or testimonials demonstrating impact
Section 7: Additional Information
Any other details you’d like to share
Section 8: Declaration & Privacy
Agreement to WHIS Privacy Policy
Clear selection
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of World Health Innovation Summit CIC.

Does this form look suspicious? Report

Google Forms