Welcome to HEALTHIER TOGETHER's Partnership Page

As part of our objective to strive for authentic and inclusive community engagement, we’ve created the following form to feature the work of your organization and volunteers who are collaborating together to create healthier communities in the Metro East Illinois area. Please take a few moments to fill in the information below. Your group will be added to our website and will receive announcements of future HEALTHIER TOGETHER events and opportunities for funding or resource sharing.

Thanks again for sharing your efforts through this innovative Collective Impact forum.


Your Information

Please enter your contact information.
This information will NOT appear on the web site. It will be used if we need to contact you for clarification or additional information.

Your First Name

Your Last Name

Your Title

E-mail Address

Phone Number

Organization Information


Organization Name

Focus Group Category

Street Address

City

State

Zip code

Phone Number

Contact E-mail

Website



What does your group do? For whom and how?

How often and where does your group meet?

List the member organizations of your group.

Other information of interest.