Community Development

Community Organizations Partnership Requests

To request a partnership or collaboration between Barnard College and a community organization, please complete and submit this form, along with any supporting documentation (e.g., marketing brochure of the community organization or nonprofit, etc.) to Vivian Taylor, Vice President of Community Development. For summer usage you must submit your request by October 1. All other requests must be submitted with descriptive materials at least 30 days prior to any applicable deadline for your request. If this request is granted any necessary documentation must be submitted in a timely fashion ( i.e. certificate of insurance).

Organization Information

Name of Group/Organization/Institution *

Group Mailing Address *

Group Telephone Number *

Person(s) Requesting Collaboration *

Your email address *

Barnard Contact Person Name and Contact Information (if applicable)

Information on Potential Partnership

Please describe the type and nature of the collaboration. *

In particular, please indicate how this collaboration fits in with the mission of the College, and whether it is a new or continuing partnership. The College’s mission statement can be found at http://www.barnard.edu/about/mission

Please upload any supporting documentation for your organization

Ex. marketing brochure of the community organization or nonprofit, etc.

Will this collaboration generate revenue for the College? Indicate rate or amount. *

Please indicate which campus groups are involved with this organization and the nature of the involvement. *

Please also estimate the number of student participants *

(through organized programs such as the New York City Civic Engagement Program and the Emerging Leaders Program, students clubs, courses, volunteer opportunities, internships, etc.)

Please also estimate the number of faculty participants *

(indicate the relevant departments and programs)

Please also estimate the number of staff participants *

(senior administrators, departmental staff such as facilities, admissions, special events, etc.)

Please also estimate the number of alumnae participants *

Please indicate the amount and type of Barnard resources required for this partnership. *

May include the following: • Space/Facilities (indicate duration, frequency, and room types/sizes) • Funds (indicate type of funding, which may include grant funds, direct dollars, in-kind) • Materials/Supplies (paper goods, tables, chairs, etc.) • Services (Printing, food, college advisement, career workshop, etc.)

Requested Start Date of Partnership: *

Month

Day

Year

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Community Development

Community Organizations Partnership Requests

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Community Development