Survey - People Like Us Partnership Form

Veterans & their Families: Overview; Housing; Employment & Training; Supportive Services

People Like Us Partnership Form

Thank you for your interest in becoming a People Like Us campaign partner! As a community-driven campaign, we need the support of people and organizations like yours to help promote awareness around mental health and substance abuse and break down barriers to accessing care.
To help us better understand your organization and how you would like to get involved, please take a few moments to complete the form below.

1. Field Is Required Please enter the name of your organization. (Maximum response 255 chars, approx. 5 rows of text)

2. Please enter information for a point of contact for your organization.

Field Is Required First

Field Is Required Last

Street 1:

Street 2:

City/Town:

State / Province:

ZIP / Postal Code:

Field Is Required Email:

Field Is Required Phone Number:

Yes, I would like to receive e-mail from Volunteers of America Chesapeake & Carolinas

Yes, I would like to receive postal mail from Volunteers of America Chesapeake & Carolinas

Keep me logged in. What's this?

3. Field Is Required Please briefly describe your organization's mission.

4. Field Is Required What is it about the People Like Us campaign that interests you?

5. Field Is Required Please select how your organization would like to get involved with People Like Us (select all that apply). Please make between 1 and 4 selections from the choices below.

My organization is interested in co-hosting a webinar.
My organization is interested in sharing about upcoming webinars.
My organization is interested in sharing about the campaign in our social media, newsletter, website or other platform.
My organization has other suggestions for how to get involved.