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External Partnership Intake form

Name

Organization Name

Organization Description

Objectives and Benefits to ICF Community

Target Audience and Expected Outcome

(e.g. children ages 5-9, teach them basic fitness skills) 

Resources/Facilities Required

(e.g. room reservations or equipment needed from ICF)

Proposed Duration/Frequency

Cost or Fee Structure (to ICF or Participants)

Internal Sponsor Name (ICF Member or Member of the community as an advocate)