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Go! Bismarck Mandan | Partner Application
We are a healthy communities coalition consisting of partnering organizations in the Bismarck and Mandan communities. Our focus is on making long-lasting, sustainable changes through policy, system and environmental changes.

Vision: Healthy Lifestyles For All
Mission: To bring people together to build a culture of health where we live, learn, work, and play.

Organizations and Individuals can apply for partnership. In applying to become a partner of Go! Bismarck Mandan, you agree to support the mission/vision and to participate within one or more of the coalition's workgroups. Work groups meet every other month (even months). The full coalition meeting is every other month (odd months).

Representative Name *
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Representative Email *
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Representative Phone *
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Organization Name *
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Organization Email (if different)
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Organization Address *
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Organization Mission Statement *
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How did you hear about Go! Bismarck Mandan? *
Why does your organization want to become a partner of Go! Bismarck Mandan? *
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What professional interests does your organization have in joining this coalition? *
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Which Go! workgroup(s) aligns best with your organization, expertise, and support? *
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Describe how your expertise and support can improve the workgroup that you have selected above. *
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Do you want to collaborate on a specific project or event? Tell us about your ideas.
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