NuMinds Community Partners Program
Please fill out the form below so we can get you registered for our Community Partners Program and start giving back to your organization and community!
Email address *
School Name *
Your answer
School Website *
Your answer
School Address *
Your answer
Organization Name *
Your answer
Organization Website *
Your answer
Organization Contact *
Your answer
Contact Title/Position (ex. PTA President, Community Projects Chair, etc.) *
Your answer
Contact Email *
Your answer
Contact Phone number *
Your answer
# of Members in Organization *
Your answer
What methods do you use to communicate with your membership? *
Required
Would you like to receive printed flyers/posters for your school?
If so, how many?
Your answer
Additional Comments or Questions
Your answer
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