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* 1. Please enter your contact info 

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* 2. What is your job role/title at your organization?

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* 3. Please share the website and social media links for your company.

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* 4. Briefly describe your interest  in collaborating or partnering with the National Domestic Violence Hotline.

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* 5. What is your vision for this partnership?

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* 6. What are you hoping to accomplish?

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* 7. How do you envision this partnership/request being mutually beneficial?

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* 8. Which of The Hotline values do you think best matches your vision/request?

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* 9. Who is the audience you hope to reach and how would you promote this partnership?

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* 10. If the request is a fundraiser, what percentage of proceeds are being donated, what is the payment schedule, and how would payment be remitted?

Thank you for reaching out and taking the time to answer some questions. Due to the number of requests, we unfortunately cannot take on every partnership opportunity. We implement a thoughtful process of evaluation that typically takes 2-4 weeks. Please note: we do not distribute funding. Also, anyone is welcome to promote The Hotline URL and phone number, but our logo can not be used without permission.

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