RISE Male Empowerment Network Membership Registration Form (Individual)

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The RISE Male Empowerment Network also includes a diverse group of individuals who support RISE goals, either because of their professional or philanthropic interests. Individuals who join the Network can provide expertise or services, create or design programming, sponsor events, and assist in many other ways as a catalyst for improving the quality of life and life outcomes for male youth in Newport News! Please provide the requested information to connect with the RISE initiative. If you have questions or need more information, please contact Bridget Adams, Youth Development Supervisor, at Bridget.Adams@nn.k12.va.us.

Email *

First Name *

Last Name *

Preferred Email Address *

Telephone Number *

Company Name (if applicable) *

Are you interested in joining as a Network Partner, Sponsor, or both?

Membership Partner Only

Sponsorship (financial or non-monetary) Only

Both Membership and Sponsorship

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Please explain your reasons for wanting to become a RISE Male Empowerment Network Member. *

Please describe any resources, services, or expertise that you or your company might be able to provide in support of RISE goals.

Please describe how membership in the RISE Male Empowerment Network might help you to achieve your goals.

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