1. Please tell us the name of the organization you are representing. *
Your answer
2. Please tell us your name and title. *
Your answer
3. Please provide your best contact information (e.g., e-mail and phone number). *
Your answer
4. Please list your organization's website or any other information such as, social media handles (if applicable):
Your answer
5. Please select your organization's industry from the drop down menu *
Choose
Healthcare
Information Technology
Finance and Banking
Consulting
Research and Development
Higher Learning
Manufacturing
Entertainment
Travel
Marketing and Advertising
Legal Services
Hospitality
Retail
Other
6. How do you think your goods or services align with our mission and vision statements as a LGTBQIA+ and APIA organization? *
Your answer
7. Please provide the city and state that your organization is located in and/or serves. If you have more than one please specify the most relevant.
Your answer
8. Please check in what ways your organization would like to potentially work with us. Choose all that apply.
9. What is your budget if you are seeking partnership opportunities such as speaking engagements or workshops? If this is not applicable, please indicate N/A in the field. *
Your answer
10. How did you hear about us (e.g., search engine, advertisement, or a referral)?
Your answer
11. Please indicate any other information that we should know about your organization or this request for partnership.
Your answer
Thank you for your submission!
Someone from our team will reach out within 2-3 business days about your inquiry via the contact information that you have provided. We will try our best to accommodate every request submitted to our team.
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of National Association of Asian American Professionals. Report Abuse