Booth for PR2023 - Victoria Homelessness

Thank you for your interest!

We’re so excited to have you in this year’s Project Reconnect
as one of the service providers.

Please fill out the form and provide us with more details about the service/s you would like to offer.

For any questions/inquiries, you may reach out to:

Sarah Sadler
E: ssadler@acehsociety.com

_________________________

Service Provider Form

About Your Organization

Organization Name(Required)

Representative's Name(Required)

First Last

How Can We Reach You?

Preferred Method of Contact

Email Address(Required)

Email Address Confirm Email Address

Your Phone(Required)

Best Time to Call You(Required)

Type of service your organization will provide

Let us know the service you wish to provide(Required)

Will you allow us to publish your organization's name/logo as partner?

If yes, please upload high-res copy of your logo.

Upload your Organization's logo

Accepted file types: jpg, jpeg, png, gif.

Name

This field is for validation purposes and should be left unchanged.

We’re so excited to have you in this year’s Project Reconnect
as one of the service providers.

Service Provider Form

About Your Organization

How Can We Reach You?

Type of service your organization will provide

Will you allow us to publish your organization's name/logo as partner?

In Crisis?:

Youth

Peer Housing Support

In Crisis?

Face 2 Face with Stigma

Aboriginal Coalition

Members

Donate to GVCEH

Get in touch

About Us

We’re so excited to have you in this year’s Project Reconnect as one of the service providers.

Service Provider Form

About Your Organization

How Can We Reach You?

Type of service your organization will provide

Will you allow us to publish your organization's name/logo as partner?

In Crisis?:

Youth

Peer Housing Support

In Crisis?

Face 2 Face with Stigma

Aboriginal Coalition

Members

Donate to GVCEH

Get in touch

About Us

We’re so excited to have you in this year’s Project Reconnect
as one of the service providers.