Partner Development

The State Grant Office is committed to developing partnerships across the state to assist public, private and non-profit organizations to increase communication and coordination. We are in the beginning stages of an accessible database for partner development and encourage your participation. Please complete this form for submission to our office.

Organization Information

 Organization Name:   
Address(es):
Location 1
 
Location 2
 
Location 3
 
Phone(s): Phone 1
Phone 2

Phone 3

Website(s): Website 1
Website 2
 
 Website 3
Tax ID:    
DUNS #    

Point of Contact Information

Point of Contact Name: 
Address(es): Location 1

Location 2

Location 3

Phone(s): Phone 1

Phone 2
 
Phone 3
 
Email:    
Title/Duties:
 

Describe Organization Activities and Desired Outcomes

  

Describe Organization Current Partners