ConnectWA Resource App Organization Intake


ConnectWA Resource App Organization Form

Thank you for your interest in joining the ConnectWA app as a partner organization. Please complete the form below to tell us more about your organization and how you align with our mission to support and connect the Washington State veteran and community member network. Please note that submitting this application does not guarantee inclusion. All applications are subject to review to ensure they meet our criteria and standards for partnership. Final approval will be determined by EEC staff to ensure partners best match our community’s needs and values.
Please provide your name here as you would like it to appear on the app.
Please select the type that best describes your organization
Please provide a brief description of the services and/or support provided by your organization/entity.
Services Supported/Provided(Required)
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Multi-select list of Digital Navigation Services supported by your Organization (hold down the "Ctrl" key and mouse click to select each option)

Organization Contact Info

Please provide the contact information below as you would like it to be displayed on the ConnectWA app:
Organization Address
County or Counties Supported(Required)
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Multi-select list of Counties where your Organization provides support (hold down the "Ctrl" key and mouse click to select each option)
Languages Supported(Required)
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Multi-select list of languages supported (hold down the "Ctrl" key and mouse click to select each option)
Primary Contact Information(Required)
Presuming that the Organization Information above is more general purpose, please add information for the Primary Contact(s) for your Organization. (Use the "+" to add a row to the list)
Contact First Name
Contact Last Name
Contact City
Contact County
Contact Phone
Contact Email
 
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Digital Navigators
Please add contact information for the Digital Navigators within your Organization. (Use the "+" to add a Navigator to the list)
Digital Navigator First Name
Digital Navigator Last Name
Digital Navigator City
Digital Navigator County
Digital Navigator Phone
Digital Navigator Email
 
Max. file size: 256 MB.
Please upload the logo for your Organization in vector format. It will come with one of the following file types: jpeg, png, webp, tiff, gif, svg, avif Try to collect image files that are ~ 200x200 or larger.  (Preferred, not required)
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Organizations listed here are current ConnectWA partner organizations.
If you currently work with or were referred by a ConnectWA Partner or other affiliated organization, please share. Heard about the app somewhere else? We'd love to hear!

Thank You!

We will reach out with any follow up questions. If approved, your organization will be added to the app within approximately 10-14 business days.
This field is for validation purposes and should be left unchanged.
Equity in Education Coalition
ConnectWA Coalition