Partnering Agreement

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