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Client Intake Form

Thank you for your interest in partnering with CURE. With these questions, we hope to gain a better sense of your needs during a potential collaboration with us. Through this form, we hope to learn more about the outcomes you hope to achieve, understand the timing of when a potential partnership might begin, and related work your organization has done that will inform a partnership with CURE.

    Which of the following best describes your inquiry (select all that apply) *