Dallas Hope Charities Collective Hope Coalition Member Form
Mission: to reduce the factors and eliminate the hopelessness that leads to suicide in the LGBTQIA+ community

Vision: to eliminate suicide among our LGBTQIA+ community in the Dallas area

I am committed to be an active member of the Collective Hope Coalition. I am committed to the vision, goals, objectives and strategies that have been and/or will be decided by the coalition. I am committed to the planning and collaboration that such coalitions undertake and understand that it will take time. I acknowledge the contributions and expectations of the other members of the Coalition. Benefits of collaboration include: newsletters, its resources, educational events, connection to other members and priority populations.

As general evidence of our commitment, we agree to do the following:
- Appoint a representative(s) to attend coalition meetings and activities
- Authorize that representative to make decisions on our behalf
- Read minutes, reports and newsletters to keep abreast of coalition decisions/activities
- Disseminate relevant information to organizational members or employees through listservs, websites and newsletters
- Keep coalition informed of our organization’s related activities
- Participate in sustaining the coalition’s vitality, involvement and energy in the community
 - Support the overarching principles of cultural competence and ensure its incorporation  into the coalition’s comprehensive approach

Specifically, our organization will commit the following resources to the coalition:
- Provide opportunities for our volunteers to engage with coalition tasks and initiatives
- In-kind contributions of goods, services and/or staff time
 - Connections to other key organizations/individuals

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Name of Organization *
Name of Representative to Coalition *
Signature (please type first and last name) *
Date *
Email Address *
Phone Number *
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