TAG Reconnect Partner Application Form
Please refer to the TAG Reconnect project and Partner information for program details:
We request that applications are completed by an organization staff member capable of creating a program partnership. Please note that there are no costs to participate in the program!
* Nonprofit organization.
* Provide social services to the public.
* TAG Gratis Business Member
Please contact Michael Gan, TAGNW Executive Director, at
or 360-312-7105 for any questions or comments.
NOTE: All fields are required, but you may note "N/A" if not applicable.
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Organization Phone Number
PRIMARY CONTACT INFORMATION
Contact Phone Number
Contact Email Address
Please describe your organization and the social services that you provide to the public.
How will participating in the TAG Reconnect program support your organization?
How will participating in the TAG Reconnect program support the public that you serve?
I confirm that the applicant is a 501(c)(3) nonprofit organization that provides social services to the public. I have reviewed the public program webpage and partner program information. I wish to participate in the TAG Reconnect program as a program partner.
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This form was created inside of Technology Alliance Group NW.