Community Partner Intake Form

Contact Information

First Name

Last Name

Email Address

Email Type

Phone Number

Phone Type

Preferred Contact Method

City (work or home)

State (work or home)

If you would like to include a company or organization affiliated with your participation in Project Invent, please list it here. This could be your employer, a volunteer group, or an affinity group with which you identify.

Participation Preferences

Are you open to working with teams remotely (aka via video calls) who may or may not be located in your immediate community?

What is your comfort level with using email, online scheduling, and video conferencing (Zoom) technology?

I am unfamiliar with these tools and rarely utilize themI am somewhat familiar, but am willing to learnI am comfortable with these tools and use them on a regular basis

Please select any areas you feel you have a particular affinity to, or that most closely relate to you

If you selected "Other" in the previous question, please describe your area of interest/expertise.

Participation Expectations

I understand that this experience works directly with you and therefore, I am willing to complete a background check. (Note: All confidential information is securely protected through a third-party platform, Sterling Volunteers. There is no cost to the participant, the entire process is completed online, and fingerprinting is not required.)

I agree.

Contact Information