General Program Information

Thank you for your interest in our program. By completing this survey, your collaboration with Roots & Shoots will be submitted to our team for review. This survey is designed to be completed by organizations or individuals interested in sharing their expertise with the Roots & Shoots network. Please include as much information as possible so we may best assess your organization or field of expertise for a successful collaboration.

This survey serves as a tool for non-profit organizations and individuals only. If this does not describe your organization or expertise, please email for other opportunities.

* 1. Program information:

* 2. Social media:

* 3. Areas of expertise. Please check all that apply:

* 4. How many people work at your organization or program?

* 5. Approximately how many people do you or your program serve?

* 6. Primary Contact Information:

* 7. Have you or your organization collaborated with Roots & Shoots before?

* 8. Briefly describe how you envision Roots & Shoots to benefit (or how Roots & Shoots has benefited) from a collaboration with you or your organization:

* 9. Briefly describe how you envision you or your organization to benefit (or how you have benefited) from a collaboration with Roots & Shoots: