National Forum Partnership Application Form The National Forum of State Nursing Workforce Centers is excited to announce our new Partnership Program. Organizational Partners will receive many benefits including: Name and link on front page of Forum's website Access to our Logo for listing on their website as a partner Facebook and Linkedin Announcement Recognition and Invitation to Monthly sharing sessions (past topics have included staffing, demand data collection, holistic admissions etc.) An exhibit booth at Annual Conference One newsletter article in the quarterly Forum enewsletter One market research survey of all state subscribers, associate subscribers and subscribers. Associate subscriber benefits for up to 5 including viewing the demographic sections on the Nursing Data visualization, discount on annual conference registration, invitation to serve on National Forum committees (non-voting member) and invitations to sharing sessions. The Annual cost for a limited number of inaugural partners is $10,000/year and potential partners will need to be approved by the National Forum Board of Directors. Please complete the application below for consideration. Questions? email info@nursingworkforcecenters.org Question Title * 1. Partner Organization Name Question Title * 2. Partner Organization Website address Question Title * 3. How will your organization contribute to the National Forum as a partner? Question Title * 4. Contact Information Name Address Address 2 City/Town State/Province ZIP/Postal Code Email Address Phone Number Done