Partnership Application FormTake the first step toward recovery, resilience, and reintegration through advanced regenerative and integrative care. Please complete the form below to begin your journey with Project R3CON. SECTION 1: ORGANIZATION INFORMATION First Name Last Name Organization / Business Name: Title / Role: Phone Email Website (if applicable): BUSINESS ADDRESS: Street City State ZIP Code SECTION 2: PARTNERSHIP DETAILS Type of Organization: Medical Clinic Veteran Organization Athletic Training Facility Wellness or Recovery Center Nonprofit / NGO Other (please specify): What services or value do you provide that align with Project R3CON’s mission? Why are you interested in partnering with Project R3CON? Have you worked with veterans, athletes, or high performers before? Yes No SECTION 3: ALIGNMENT & EXPECTATIONS How do you envision this partnership working? What support or collaboration are you seeking from Project R3CON? Are there any specific goals or metrics you'd like to achieve through this partnership? SECTION 4: ADDITIONAL INFORMATION Please upload any supporting materials (if available):Company Overview or Deck PresentationRelevant Certifications or LicensesPartnership Proposal CONSENT & SUBMISSION Acceptance I confirm that the information provided is true and accurate. I understand this is an application for partnership and does not guarantee approval. Submit
