NewForm Account Inquiry

NewForm Account Inquiry
Thank you for your interest in having an account on the NewForm platform!

NewForm is building a marketplace of organizations, communities, and free recovery resources on our mobile app! Fill out this form to submit your organization for consideration. We strive to connect with each prospective account owner within one month of submission but cannot promise a specific timeline.

A quick note: The Accounts team does not guarantee an account on the platform before having a chance to connect with prospect owners. We carefully vet each prospective account to ensure alignment and mutual benefit. For any questions, reach out to the Accounts team at accounts@newform.org. We truly appreciate your inquiry!
Account Name
Name*

First NameLast Name
Email*
example@example.com
Phone Number
Please enter a valid phone number.
Organization Name*
Organization Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Organization Website*
Is this organization a 501c3 organization?*

YesNo
Organization EIN*
Please provide additional organization contacts (name and email) if different from above
Does this organization offer free events/resources, paid events/resources or both?*

Free onlyPaid onlyBothNone at this time
What types of events does this organization currently have? (select all that apply)*

In-PersonVirtualHybridNone at this time
Does this organization offer services and resources for any of the following? (select all that apply)*

Mental HealthBehavioral HealthSubstance UseRecovery CoachingRecovery Housing/Transitional LivingJob Readiness/Job Placement ServicesReentry ServicesFinancial LiteracyOther
Why are you interested in an account on the NewForm platform?*
How did you hear about us?*

ReferralWebsiteSocial MediaOther
Is there anything else you want us to know about your organization?
Should be Empty: