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Partnership Registration
Partnership Registration
All agencies / organizations / groups offering to partner with Communities in Schools (CIS) must complete a Partnership Registration Form. This ensures that the partnership relationship is clearly aligned with mission and goals of CIS and the enrolled students / families served. Partnership Registration will also assist CIS in properly acknowledging the work and resources provided to CIS students and families annually by the partner agency / group or organization.
Name of Agency / Organization / Group
*
Address
*
Street Address
Address Line 2
City
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Primary Contact Person
*
Phone
*
Email
*
Service(s) proposed by partner group
*
Please describe below the services proposed to be delivered to students and/or family at the school, the frequency and duration.
Is there an evidence-based curriculum that will be utilized? If yes, please name.
How will your services impact academic achievement for students?
*
School / grade level proposed for these services:
*
Questions? Contact Andrew Ladd, VP of Planning and Agency Partnerships.
aladd@cischarlotte.org
| 704.943.9436
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990 Tax Form
Annual Report
Programs
Our Programs
Comprehensive Services
Specialized Interventions
TRiO / Talent Search
Safe Journey / Teen Parents
Newcomer Services
Re-Entry Program
Agency Partnerships
Parent Inquiry Form
Impact
Our Impact
Success Stories
State of Our Children Report
Get Involved
Overview
Volunteer
Volunteer Spotlight
Volunteer Interest Form
Social Capital Investor
Social Capital Investor Form
Special Events / Sponsorships
Make a Donation
Individual
Corporate
Civic and Faith
News
Latest News
Press Releases
Social
Newsletter / Archives
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Photo Gallery
Contact
Contact Us
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Join Our Email List
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