NHS Partner Inquiry NHS New Haven Partner inquiry Thanks for your interest in partnering with NHS New Haven! Please fill out this form and we'll be in touch soon. OK Question Title * 1. Please provide your contact info below. Name Company Address Address 2 City/Town State/Province -- select state -- AL AlabamaAK AlaskaAS American SamoaAZ ArizonaAR ArkansasCA CaliforniaCO ColoradoCT ConnecticutDE DelawareDC District of ColumbiaFM Federated States of MicronesiaFL FloridaGA GeorgiaGU GuamHI HawaiiID IdahoIL IllinoisIN IndianaIA IowaKS KansasKY KentuckyLA LouisianaME MaineMH Marshall IslandsMD MarylandMA MassachusettsMI MichiganMN MinnesotaMS MississippiMO MissouriMT MontanaNE NebraskaNV NevadaNH New HampshireNJ New JerseyNM New MexicoNY New YorkNC North CarolinaND North DakotaMP Northern Mariana IslandsOH OhioOK OklahomaOR OregonPW PalauPA PennsylvaniaPR Puerto RicoRI Rhode IslandSC South CarolinaSD South DakotaTN TennesseeTX TexasUT UtahVT VermontVI Virgin IslandsVA VirginiaWA WashingtonWV West VirginiaWI WisconsinWY Wyoming ZIP/Postal Code Email Address Phone Number OK Question Title * 2. How would you like to partner with NHS New Haven? (check all that apply) raise funds teach a class (or series) establish a new community building or sustainability initiative advocate for NHS New Haven co-write a grant Other (please specify) OK Question Title * 3. What do you envision a partnership with NHS New Haven might look like? OK Question Title * 4. What is your area of expertise? OK Question Title * 5. What is your profession? OK Question Title * 6. How did you hear about NHS New Haven? OK Question Title * 7. Have you worked with us before? Yes No OK Question Title * 8. If you answered YES to question 7, in what capacity have you worked with us? OK SEND YOUR RESPONSE