Amplify Latinx Partner Form
Become a Partner

We welcome you to join as an official partner. Provide your organization’s information and we’ll include you with our growing partners below.

Name of the Organization *
Please submit name exactly as your organization would like it to be displayed in Latina Circle & Amplify Latinx materials.
Mission of Organization *
140 character limit
Organization Website *
What services does your organization provide? *
(Check all that apply)
Required
Type of Organization *
Name of Contact at Organization *
First and Last
Title of Contact at Organization *
Email of Contact at Organization *
Phone Number of Contact at Nonprofit *
Organization Street Address *
What geographic areas does the organization serve? (e.g. Boston, Lawrence, national) *
Facebook link
Instagram link
Twitter link
LinkedIn link
Upload the Organization's Logo *
Required
Submit
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