AzABA Partnership Application
Interested in partnering with AzABA? Please fill out the form below to gives us information about your organization, areas of collaboration and how a partnership would align with our mission. We will review your submission and a member of our outreach team will be in touch shortly. 
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Organization Name *
Organization website *
Organization social media handles *
Contact Person (Name) *
Contact Person (Email) *
Why would your organization like to partner with us? *
Please list your targeted areas of interest(s) for collaboration.
 *
How does your interest in partnership align with our mission?
The Arizona Association for Behavior Analysis (AzABA) is a scientific and professional reference group for all in Arizona who identify themselves as scientists or practitioners in disciplines that embrace the principles and practices of behavior analysis.
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Does this request require marketing of a specific product? *
If so, describe the product and benefit for AzABA stakeholders.
In order to execute a partnership, what will you need from AzABA to ensure our success?
 *
In order to execute a partnership, what will you provide to ensure our success?
 *
Please detail the potential life of this partnership (ongoing, 1-time event, etc)
Please disclose any potential conflicts of interest.
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