Harm Reduction Incubator Waiting List
Thank you for your interest in Harm Reduction Coalition's Harm Reduction Incubator. Since this project is in the pilot phase, we are not actively recruiting participants for fiscal sponsorship. If you are interested in receiving services or becoming a project of the Harm Reduction Incubator, please feel free to fill out the following questionnaire. Someone will contact you when we are able to begin taking on new projects.

Please note that in order to protect Harm Reduction Coalition's 501c3 status, we are unable to take on projects that are engaging in illegal activities.
Sign in to Google to save your progress. Learn more
What is the name of your project? *
What is your project's mission? *
How long has your project been in operation? *
What are you looking for from Harm Reduction Coalition? What are the challenges you're hoping to address? What is your timeline? *
Do you have existing funding? Please include sources and amounts if applicable. *
Do you have funding prospects? Please include sources and amounts if applicable. *
Do you have existing staffing (paid or volunteers)? If so, how many? What does this structure look like? *
Name *
Phone Number
Email address *
Clear form
Never submit passwords through Google Forms.
This form was created inside of Harm Reduction Coalition. Report Abuse