Systems Change Stakeholders Summit

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Systems Change Stakeholders Summit – RSVP Form

STAKEHOLDERS SUMMIT – JANUARY 21, 2026

11:00 AM – 3:00 PM | Winston-Salem, NC
A Strategic Convening for Collective Impact, Systems Integration & 10-Dimensional Community Health

Summit Purpose:

To collaborate and coordinate with key partners, decision makers, neighborhood and community leaders across Winston-Salem & Forsyth County to design, align, and activate a cross-sector strategy that strengthens Church in the Streets as a countywide community health platform grounded in:

✔ Health and Faith-based community engagement

✔ 10 dimensions of community wellness

✔ Collective impact

✔ Systems change

✔ Equity & community voice

This summit will bring together leaders across faith communities, health systems, nonprofit organizations, educational institutions, government partners, and community agencies to co-develop a unified strategy for the 2026 Church in the Streets initiative.

Please complete the RSVP form below so we can prepare materials, lunch, and sector work sessions.

Full Name *

Organization / Church / Agency *

Title / Role

Email Address *

Phone Number *

Which sector best describes your organization? *

Neighborhood Resident

Faith / Ministry

Education / Youth Development

Health & Wellness

Government / Public Sector

Neighborhood Association

Nonprofit / Human Services

Housing & Community Development

Philanthropy / Funding

Business / Corporate Partner

Research / Data Analysis

Other:

Will you attend the Stakeholders Summit on January 21, 2026? *

Yes, I will attend.

Unable to attend, but keep me informed.

I would like to send a representative.

If you are sending a representative, please list their name and contact information.

Do you have any dietary restrictions?

None

Vegetarian

Vegan

Gluten-free

Other:

Clear selection

Do you need accommodations or accessibility support?

What level of partnership and collective action is your organization, agency, or institution willing to commit to when working with others?
*

(Select one)

Coexist – We work independently but are aware of each other’s efforts in the community.

Cooperate – We share information occasionally and support one another informally when needed.

Coordinate – We align schedules, events, or outreach efforts to avoid duplication and increase impact.

Collaborate – We share resources, plan together, and implement joint activities or services.

Integrate –We combine staffing, funding, or data systems to achieve shared goals and measurable outcomes.

Other:

What services, resources, or support could your organization potentially provide for community impact and well-being for 2026?

(This helps for cross-sector planning.)

What neighborhoods or communities does your organization already serve? *

Additional comments or questions

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