Gulf Coast Healthy Communities Collaborative

Thank you for your interest in becoming a Member of the Gulf Coast Healthy Communities Collaborative. Organizations from various sectors across the Gulf Coast are coming together to make a collective impact on the health and quality of life in our communities.  

By taking an active role, whether by providing resources, planning and program support, or by contributing other in-kind services, your efforts will serve to build the value of this tool as a knowledge and resource exchange for Mississippi's Gulf Coast.

We look forward to working with you, and to including your organization's name and description on our 'Partner Page', and linking users to your website.

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* 1. Organization Name & Website

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* 2. Contact Person and your Position within the Organization

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* 3. Contact Email

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* 4. Contact Phone

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* 5. Organization Description (In 50 words or less, please describe the work of your organization. This will appear on the site along with your organization's name.)

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* 6. How does your organization anticipate contributing to Gulf Coast Community Exchange?  Please select all that apply.

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* 7. What other ideas do you have of how the Community ExCHANGE could best serve your organization? 

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* 8. By submitting this form, our organization commits to support the mission of the Gulf Coast Healthy Communities Collaborative by:
         Connecting clients, fellow service providers and municipalities to the Gulf Coast Community Exchange.   
  Providing credible content that can benefit the Gulf Coast region.
  Helping us Identify other community assets that can benefit the Gulf Coast Community Exchange.
  Attend Semi-Annual Convenings of the Gulf Coast Healthy Communities Collaborative to collaborate with other members across sector.
 
Please count me in as a Gulf Coast Healthy Communities Collaborative Member. members will have their organizaiton name, web link, and 50-word description on the Member Page of the Community ExCHANGE. Individuals may also become members.

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* 9. The Gulf Coast Healthy Communities Collaborative will provide the following for all members:
         Connecting clients, fellow service providers and municipalities to the Gulf Coast Community Exchange.   
  Providing credible content that can benefit the Gulf Coast region.
  Helping us Identify other community assets that can benefit the Gulf Coast Community Exchange.
  Attend Semi-Annual Convenings of the Gulf Coast Healthy Communities Collaborative to collaborate with other members across sector.
 

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