Resource Roadmap Community Resource Roadmap Name * Name First Name First Name Last Name Last Name Email * Title/Position * Resource Providers in the Community Resource Roadmap See the current partner page here: Organization logo and website hyperlink will appear on the page. Resource providers should confirm they agree to the following pledge: As a health & wellness service provider, we pledge and commit to: (1) provide good customer service, (2) ask how you learned about our services and including EnVision Barbershop Network as an option to select, and (3) attend quarterly stakeholder’s meetings to close the feedback loop and support all people reaching their highest health potential. Your Organization’s Name (written as it should be listed on the website) * Checkboxes * Crisis & Abus Help Civic Health Economic Empowerment Financial Employment & Job Readiness Service Educational Services Family Support Self Care Therapeutic Service Healthcare Service Housing Mental Wellness Service Spiritual Wellness Recreation & Community Center OtherOther Are you authorized to add your organization to EnVision Resolution website? * Yes No (please consider sharing this form with an authorized signer) Add my organization to EnVision Resolution * Yes (see below for required additional information) No ( If your answer is no, please exit the form.) Share Your Website * The logo can include a hyperlink to your homepage or another page within your website. Please list the exact web address where you want your logo to hyperlink. Upload Your Logo If the upload does not work, email the file to [email protected] File Specifications: preferred format: .png with transparent background that has a minimum of 500px in width another option: vector .ai or .eps (adobe illustrator) that we can export for web use the height can be proportionate to the logo’s dimensions Upload up to 5 supported files. Max 10 MB per file. If the upload does not work, email the file to [email protected] File Specifications: preferred format: .png with transparent background that has a minimum of 500px in width another option: vector .ai or .eps (adobe illustrator) that we can export for web use the height can be proportionate to the logo’s dimensions Upload up to 5 supported files. Max 10 MB per file. File Upload Drop a file here or click to upload Choose File Maximum file size: 10MB Submit If you are human, leave this field blank.