Braver Network - New Lead Form
If you are a Braver Angels Member, Ambassador, and Rep, you can use this form to provide the Braver Network team with information about a new "Lead"—that is, an organizations you believe might be interested in the Braver Network program, but outreach is still needed (from you or someone on our team) in order to know if the organization is interested in joining Braver Network.

If you have an existing relationship with the organization below and believe that the organization is already interested in joining the Network, it is strongly suggested that you encourage the organization to complete the Braver Network Application instead (or if they'd like you to complete that Application on their behalf, you can do so).
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Information about the person providing the lead (e.g. you!)
First Name *
Last Name *
Email address *
Your role(s) at Braver Angels *
Required
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