Eaton County Resource Connect: Organization Interest Form

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Please complete this form if your organization is interested in participating in the upcoming PRC event on November 2, 2023. Upon form completion the PRC Committee will contact you to complete registration.

Email *

Record my email address with my response

Organization Name

Contact Name

Contact Phone Number

My Organization is interested in participating in Project Resource Connect in the following ways (check all that apply)

Sending Staff to host an information table

Sending Staff to provide direct onsite services to attendees

Sending Information and Resources, but not interested in hosting a table

Sending volunteers the day of the event

Other:

Please describe the services your organization provides, geographic service area, and the populations served.

Will your organization need a private space during the event to host confidential appointments?

Yes, we will need a private room for on site appointments during the event

No, we can provide direct services from our information table

We will not provide direct services during the event

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