Partners

1. Organization Information
Organization Name

Primary Contact Person
Name

Position

Email

Phone Number

Organization Address

Website

2. Partnership Interest
Please select the type of partner you would like to become:
Educational InstitutionsHealthcare OrganizationsGovernment BodiesNonprofits and NGOsPrivate SectorProfessional AssociationsFunding AgenciesOther (Please specify)

3. Collaboration Areas

What areas of collaboration are you interested in? (Check all that apply)

Joint Course DevelopmentTraining and Capacity BuildingResearch and Innovation ProjectsFunding and GrantsCommunity Health InitiativesTechnology and Tools IntegrationScholarships and FellowshipsOther (Please specify)

4. Additional Information
Briefly describe your organization’s mission and how it aligns with the Digital Innovation School of Health’s objectives:

What resources or expertise can your organization contribute to this partnership? (Check all that apply)
Financial SupportTechnical ExpertiseEducational ContentTraining FacilitiesResearch CapabilitiesTechnology and ToolsOutreach and Community EngagementOther (Please specify)

What outcomes does your organization hope to achieve through this partnership?

Any additional comments or questions:

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