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Connect with the 1999 Collective!
Hello! Thank you for your interest in working with us. We look forward to providing you with services and information. This short form will allow us to schedule your meeting or consult as quickly as possible.
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Name
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Your answer
Date of Birth
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YYYY
Age
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Your answer
I am a...
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foster care alumni
community member
organization or agency
all of the above
Other:
What type of meeting would you like to request?
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1 on 1 Coaching or Resource Connection
Group Presentation or Workshop
Life After Care Course
Other Consulting
I'm not Sure
Please explain your need in your own words. Include here whether this meeting is for you, a loved one, or your organization. Also include what you're hoping to learn or specific questions if you have them.
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Your answer
How would you like us to contact you?
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Phone Call
Text Message
Email
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Phone Number
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Email
Your answer
Instagram (optional)
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Tik Tok (optional)
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Facebook (optional)
Your answer
Check the boxes of times you are available and prefer to meet.
Morning (8-12)
Afternoon (12-17)
Evening (17-21)
Sunday
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Morning (8-12)
Afternoon (12-17)
Evening (17-21)
Sunday
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Would you prefer a virtual or in-person meeting?
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Virtual
In Person
Either is Fine
How did you hear about the 1999 Collective?
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