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Partnering Agreement with Anchorage re:MADE
re:MADE’s mission is to help people making positive changes, we want to partner with agencies, organizations, and companies who are striving to help people make positive long term changes. If your organization does that please join us.
We do not work with individuals or clients directly - we will only fill needs based on participation with the
organization or agency.
*
Indicates required field
Your Organization Name
*
Today's Date
*
Address
*
Line 1
Line 2
City
State
Zip Code
Country
Contact Name
*
First
Last
Title
*
Email
*
Phone Number
*
Do you do an intake with the individual or family:
*
Yes
No
Not sure
Please list eligible people who can submit requests from your organization.
*
What services does your organization provide?
*
Would your participants be willing to volunteer?
*
Typically does the participant need to earn additional income?
*
Yes
No
Not sure
Typically are your participants income below the poverty level?
*
(1 person household) $15,180
(2 person household) $20,580
(3 person household) $25,980
(4 person household) $31,380
(5 person household) $36,780
(6 person household) $42,180
(7 person household) $47,580
(8 person household) $52,980
For families with more than 8 persons, add $5,400 for each additional person.[2019 Alaska levels]
What are you hoping to give to re:MADE?
*
What are you hoping to get from re:MADE?
*
How else could we partner/comments
*
Submit
UA-158353834-1