Organizational Partner Agreement

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About SWC Membership

SWC memberships are individual memberships, open to all, and free of charge. Organizational partners may designate one or more individuals to represent their organization in the SWC. There is a separate SWC Member Agreement for each individual member; this organizational partner agreement simply affirms organizational support for the SWC vision and mission.

Vision

The SWC is committed to a safe, secure, healthy, prosperous and drug-free community.

Mission

Collaborating with local resources and partnerships to foster wellness and a drug-free community for our youth, adults and families.

Partner Organization Name

The organization named above affirms agreement with the Southside Wellness Coalition vision and mission for Mecklenburg, Halifax, and Brunswick counties, Virginia. Organizational Partner representatives are invited and encouraged, but not required, to join SWC. Partnership affirms the intent to support SWC through information sharing and consideration of resource contributions when possible.

SWC Organizational Partner agrees to:

Affirm support of the SWC mission and vision.
Advise SWC fiscal agent of names/emails of officers, board, or other members to include in the SWC distribution list and update this information at least annually.
Consider distribution of SWC materials to organizational contacts and/or clients to the extent materials align with partner interests.
Consider other means of extending SWC publicity through communication channels such as email communications and social media posts.
Consider resource contributions and/or letters of support to SWC for specific purposes.

Southside Wellness Coalition agrees to:

Offer SWC Organizational Partnership to community businesses, agencies, and other organizations that affirm the SWC mission and vision. Individual membership in SWC is open to anyone, including organizational representatives.
Include partner representatives in SWC communications as requested.
Advise SWC Organizational Partners of opportunities to support SWC events and initiatives, including related publicity opportunities. Examples: use of meeting space and/or meeting equipment; distribution of SWC materials; technical or professional expertise; promotional products for SWC event attendees; financial or in-kind contributions for specific purposes.
Post Community Organizational Partners’ names and logos on the SWC Community Partners section of the SWC website (bewellsouthside.org).
Acknowledge Organizational Partners’ SWC contributions through announcements, communications, and publications whenever relevant.

SWC endeavors to include a wide community representation. Please indicate which community sector below most closely describes the organization type.(Required)

Parents & Parenting Role

Business & Business Community

Media

School/School System/Educational Organization

Youth Serving

Law Enforcement Agency

Religious or Fraternal Organization

Civic or Volunteer Organization

Healthcare Organization

State, Local or Tribal Government Agency

Human Services Organization

Substance Abuse Organizations - Prevention, Treatment and/or Support

Other

If "Other," enter organization type:

By entering my name below, I affirm SWC support on behalf of this organization’s leadership.

Organization Representative(Required)

Title

Date

MM slash DD slash YYYY

Contact

143 Industrial Parkway Clarksville, VA 23927

434-202-5450

info@bewellsouthside.org

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