Community Partner Intake Form
Contact Information
First Name
Last Name
Email Address
Email Type
Please select...
Work
Personal
Alternate
Phone Number
Phone Type
Please select...
Home
Work
Mobile
Other
Preferred Contact Method
Please select...
Email
Phone Call
Text
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?
Please select...
Yes, that would be best for me!
I'm flexible, and can meet in person or remotely.
No, I only want to work with teams in person.
What is your comfort level with using email, online scheduling, and video conferencing (Zoom) technology?
I am unfamiliar with these tools and rarely utilize them
I am somewhat familiar, but am willing to learn
I am comfortable with these tools and use them on a regular basis
Frequently, educators will divide their students into teams of 5-8 students, depending on the size of their group. Are you comfortable working with multiple groups of students?
I'd prefer to just work with 1 group.
1-3 groups of students feels like a good sweet spot.
I'd be happy to work with up to 6 groups!
Please select any areas you feel you have a particular affinity to, or that most closely relate to you
Please select...
Health & Public Safety
Veterans Affairs
Mental Health
Persons with Disabilities
Environment & Sustainability
Education
Agriculture & Animal Welfare
Social Welfare
Other
If you selected "Other" in the previous question, please describe your area of interest/expertise.
Contact Information