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Information Request Form

Center for Community Collaboration

If have questions or would like to receive more information
about the Center for Community Collaboration, our work,
or any of our projects and materials, please fill out the form below. 

Once you have completed the form, our staff will contact you to discuss your request.

Thank you for your interest!
1.First Name(Required.)
2.Last Name(Required.)
3.Name of Agency/Organization (if applicable)
4.Agency/Organization Address
5.Job Title/Role(Required.)
6.Phone Number(Required.)
7.Email Address(Required.)
8.What type of services does your agency/organization provide?(Required.)
9.Please list any questions you may have or provide details on the information/materials being requested.(Required.)
Please feel free to contact us using the information below

 

Center for Community Collaboration
Department of Psychology
University of Maryland, Baltimore County
1000 Hilltop Circle
Baltimore, Maryland 21250
 
P: 410-455-5840
F: 410-455-3866
 
E: communitycollaboration@umbc.edu
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