Partner Application - Arizona Partnership for Healthy Communities
The Arizona Partnership for Healthy Communities is a statewide collaboration of Arizona-based nonprofits, foundations, businesses, and government agencies. Our vision is an Arizona where all communities are a healthy place to live. To accomplish this, we foster and support collaborative projects that make our communities healthier by design

We are looking for entities across the state to join as active Partners. Here are the eligibility criteria for Partners:
1. Your organization is interested in cross-sector collaborative work that focuses on changing the underlying conditions in Arizona’s lower income communities to allow all Arizonans to live well and thrive.
2. Your organization has an interest in place-based health (i.e. focusing on creating opportunities for health where we live, work, and play).
2. Someone from your organization will commit to joining and actively participating, which includes attending quarterly Partners meetings (which always have a call-in option).

If you meet these criteria and are interested in becoming a Partner, please complete the following application. This will also help us learn more about you and how we can be helpful to your work.
Name of organization/entity *
Contact person & position *
Contact person's email address *
Contact person's phone number *
1. My organization/entity is involved in the following sectors: *
(check all that apply)
Required
2. My organization/entity is a/an: *
(check all that apply)
Required
3. Our geographic focus is: *
(check all that apply)
Required
4. We learned about the Partnership from:
(check all that apply)
5. What are you interested in getting from the Partnership? *
1 (not interested)
2 (somewhat interested)
3 (very interested)
Up-to-date information about cross-sector collaboration
Connecting with others doing healthy communities work
Capacity-building tools
Learning about successful projects
5a. Are there other information/resources you would like to see the Partnership offer its Partners?
(optional)
6. What is your level of interest in the following Partnership activities? *
1 (not useful)
2 (somewhat useful)
3 (very useful)
Statewide information-sharing conference calls
In-person events and trainings
In-person meetings
Webinar presentations and trainings
6a. Are there other activities you would be interested in?
(optional)
8. Anything else helpful for us to know?
Submit
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