Partnerships for Impact Intake Form

Thank you for your interest in partnering with Boys & Girls Clubs of America (BGCA). In an effort to determine the alignment and potential of a partnership we ask that you share information about your organization. New partnerships that help advance the work of our organization are always welcome. We define Community & Program Partnerships as collaborative, mission aligned opportunities between BGCA and other non-profits and organizations. If you are a corporation interested in partnering, please visit our website for more information on Corporate Partnerships.

Whether new or established, any prospective partner must have a strong mission and be an industry leader. Key factors for evaluating a potential partner include the partner’s ability to expand BGCA’s offerings to youth, align to BGCA’s organizational priorities and/or drive impact for youth; locally and nationally. Please note that BGCA does not endorse products, promote the sale of products or mandate that Clubs or members endorse, purchase, or sell any product or service.

General
Prospective Partner Organization Name *
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Partner Type *
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Organization's Street Address *
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City *
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State *
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Zip Code *
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Link to Prospective Partner's Website *
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Prospective Partner Organization's Scale of Operations: *
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Are you a representative from the prospective partner organization? *
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Representative InfoEnter Your Information (answer is yes)
Prospective Partner - Primary Point of Contact (POC): *
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POC Phone Number: *
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POC Email Address *
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Representative InfoEnter Referrer's Information (answer is no)
Referrer’s Organization/affiliation: *
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Referrer’s Name: *
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Referrer’s email address: *
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Information about Your Organization
Brief description of your company/organization, including a description of the types of services or products you offer. (To ensure smooth processing, kindly refrain from including special characters (e.g., @, #, $, %, &, *) in the form fields.) *
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Who is your target audience? *
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Has your organization/company partnered with BGCA (national headquarters) in the past? *
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Has your organization/company partnered with any local Boys & Girls Clubs in the past? *
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Please share which Boys & Girls Clubs (BGC) organization(s): *
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Please describe the nature of the program(s). (To ensure smooth processing, kindly refrain from including special characters (e.g., @, #, $, %, &, *) in the form fields.) *
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Please describe the success/outcomes of the partnership. (To ensure smooth processing, kindly refrain from including special characters (e.g., @, #, $, %, &, *) in the form fields.) *
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Information about the Proposed Partnership
Area of Partnership Interest: *
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Describe the partnership your organization/company is proposing in as much detail as possible. If you are looking to provide content or resources to Clubs and youth, please describe or provide a link of the programs/resources/tools, if applicable. (To ensure smooth processing, kindly refrain from including special characters (e.g., @, #, $, %, &, *) in the form fields.) *
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Describe the key objectives that your organization/company would like to achieve through this partnership. Please include business objectives, the audience you are trying to reach, etc. being as specific as possible. This will assist us in evaluation and matching of the opportunity to audience and/ or program, if applicable. (To ensure smooth processing, kindly refrain from including special characters (e.g., @, #, $, %, &, *) in the form fields.) *
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Please outline your expectations for BGCA involvement and support of the partnership. Include any cost to BGCA you envision in developing this partnership. (To ensure smooth processing, kindly refrain from including special characters (e.g., @, #, $, %, &, *) in the form fields.) *
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