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Alliance for Positive Change: Outreach & Testing Form

Hello!

Thank you for thinking of the Alliance for Positive Change for your event.

Please note that requests for outreach, testing and/or use of the Alliance on the Move Mobile Unit should be submitted as early as possible—no less than 2 weeks in advance. You will be notified promptly after the request is processed to confirm/deny based on availability. 

For more information, please e-mail Carla Robinson ( carla@alliance.nyc).

Thank you!

Alliance for Positive Change
1. Please select the option that best represents you. *This question is required.
2. If Alliance Staff: Is this request for the use of the van for Operations? (e.g. FNS deliveries, donation pick-ups, etc.) *This question is required.
2. Are you requesting additional support for this event? *This question is required.
This question requires a valid date format of MM/DD/YYYY.
calendar
4. Time of the Event: *This question is required.
7. For Operations Van Use: Are you requesting a van driver? *This question is required.
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