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LinkHer™ Partner Application
Completing this application enters your business or school to the LinkHer™ Partner Pool. A member of our team will contact you to schedule an initial Mentoring Scoping Session to determine how the LinkHer™ Program can add the most value to your employees or students.
If you have any questions about this application, please contact us at linkher@xcelinc.org.
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CONTACT
Type of Organization
*
School
Business
Youth Group
School or Business Name
*
Address
*
City
*
State
*
Please select
First option
Second option
Third option
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
First Name
*
Last Name
*
Position
*
Email
*
Phone
*
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Extension
LinkedIn Profile Address
Preferred Method(s) of Contact
*
Email
Phone (Call)
Phone (Text)
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