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.

What is the name of your project? *
Your answer
What is your project's mission? *
Your answer
How long has your project been in operation? *
Your answer
What are you looking for from Harm Reduction Coalition? What are the challenges you're hoping to address? What is your timeline? *
Your answer
Do you have existing funding? Please include sources and amounts if applicable. *
Your answer
Do you have funding prospects? Please include sources and amounts if applicable. *
Your answer
Do you have existing staffing (paid or volunteers)? If so, how many? What does this structure look like? *
Your answer
Name *
Your answer
Phone Number
Your answer
Email address *
Your answer
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