Thank you for becoming a Gen2Gen partner! We are pleased to welcome you into the national campaign -- and to our thriving Gen2Gen community of like-minded organizations. We hope this form takes 10 minutes to complete.
Form Tips
.
Use the tab key to navigate from field to field.
You can REVIEW your responses before you submit.
After REVIEW you must press the CONFIRM button for the final submission.
All asterisk (*) fields are required.
For any questions about this form, please contact Aileen Ichikawa at aichikawa@encore.org.
Organization
Organization Name:
Exact spelling and format for how you'd like to be identified in materials and on the website, etc.
Short Organization description:
25-word / 175-character max description of organization.
Website URL:
Contacts
Who will be our primary contact? We find our partnership is more effective if your Communications contact is also listed.
Primary Contact:
Primary First Name:
Primary Last Name:
Primary Title:
Primary Email:
Communications Contact:
Comms First Name:
Comms Last Name:
Comms Title:
Comms Email:
Address
Please provide address information for the
Primary Contact (above)
:
Address Line 1
Address Line 2
(optional)
City
States
Please select...
AL
AK
AZ
AR
CA
CO
CT
DE
DC
FL
GA
HI
ID
IL
IN
IA
KS
KY
LA
ME
MD
MA
MI
MN
MS
MO
MT
NE
NV
NH
NJ
NM
NY
NC
ND
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VT
VA
WA
WV
WI
WY
Postal Code
Telephone
(optional)
Social Media Information
Social media is an active part of the Gen2Gen campaign. Please not your preferred social information. If you do not use social platforms, please type in N/A.
Preferred Facebook handle:
Preferred LinkedIn handle:
Preferred Twitter handle:
Optional Organization Information
Email list size:
To help us scale our efforts together, what is the approximate size of your email listserv?
Number of affiliate sites or local chapters (if applicable):
Help us understand the scope of your impact. An estimation is fine.
Total number of youth served annually (if applicable):
If your mission is to serve young people, help us understand the scope of your impact. An estimation is fine.
Logo + Photo Files
For our website and campaign materials, please provide high resolution logos (ideally color logo with org name), minimum 75dpi. Square logos with a transparent background while not required, work well.
Logo
.png files are preferred, but either .jpg or .png files are acceptable.
If you would like to send photos of which represent your organization attach them below.
.png files are preferred, but either .jpg or .png files are acceptable.
How did you hear about Gen2Gen?
(An initiative, social media, other media, Encore.org/Gen2Gen contact or other?)
Any additional comments or questions?
Contact Information