Please fill out the form below with information about your organization. We will review the details provided to confirm that your organization would be a good fit.
Fields marked with an asterisk (*) are required.
*Organization name:
*CEO/Executive Director:
Point of contact (if different from CEO):
*Phone number:
*Email:
Agency mission and purpose:
Population(s) served:
Service(s) provided:
Please indicate the partnership benefits that interest your organization: (select all that apply)
Campaign and advocacy strategy and instruction: Capitol Hill advocacyIncreased media attentionOutreach materials Trainings and professional development: Workshops at USCRI conferenceWebinars and online trainings Networking and partnership opportunities: Networking at USCRI conferenceKeynote speakersConnect with other Allied AgenciesInformation regarding potential funding opportunities Conference space: Meeting space near Washington, DC