Healthier WI Partnership Program

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Partnership Assistance Request

Complete the web-based Partnership Assistance Request form (below) and submit to HWPP (due to HWPP a minimum of one month prior to LOI deadline). This request is for informational and networking purposes only and is not required nor is it a determinant of funding or partnership or a guarantee of partnership.

The process may result in a formulated partnership or recommendations for enhancing a project idea prior to seeking funding. It also is possible that an appropriate partner may not be found and/or that HWPP may not be the appropriate funding source for a particular project.

You will receive a confirmation of receipt of the Partnership Assistance Request form from HWPP. HWPP will contact you within 10 business days of receipt of your Partnership Assistance Request form to update you on our progress related to the partnership search for your potential project.

Partnership Assistance Request Form 


Name (First and Last)
Phone # (with area code)
Email Address
Project Idea – Describe the project’s overall goal, the documented need for the project, additional project collaborators, anticipated project outcomes and the tentative budget. Describe the anticipated roles of the community and academic partner(s).
Describe the steps that have been taken to date to find an MCW academic partner.
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Page Updated 01/07/2014