STRONG START & BEYOND PARTNER Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.FOR INDIVIDUALSName *FirstLastEmail *How will you support Strong Start & Beyond? (Check ALL that apply) *Promote on Social MediaVolunteerAttending events supporting Strong Start & BeyondAdvocacyPhilanthropyOtherIf you selected other, please explain:How did you hear about this pledge? *Office of the California Surgeon General (OSG) WebsiteSocial MediaEvent AttendancePledge SignatoryOtherIf you selected other, please explain: Submit Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.FOR ORGANIZATIONSName *FirstLastOrganization Name *Email *What type of organization do you represent? *Advocacy GroupBusinessCaregiver GroupCommunity Based OrganizationEducational InstitutionFaith-based OrganizationHealthcare ProviderLabor UnionGovernment EntityMedia OutletParent GroupPhilanthropic FoundationPolicymakerProfessional associationPublic Health OrganizationSocial Service ProviderTech CompanyYouth OrganizationOtherIf you selected other, please explain: How large is your organization? *0-5050-125125-300300+What city/county does your organization provided service(s) in? *Who does your organization serve? *I consent to having our organization listed publicly as a Strong Start & Beyond Partner *YesNoHow will you support Strong Start & Beyond? (Check ALL that apply) *Promote on Social MediaVolunteerAttending events supporting Strong Start & BeyondAdvocacyPhilanthropyOtherIf you selected other, please explain:How did you hear about this pledge? *Office of the California Surgeon General (OSG) WebsiteSocial MediaEvent AttendancePledge SignatoryOtherIf you selected other, please explain: Submit
