HIV in Canada
Returning Partner Application Form
As a representative of the applying AIDS Service Organization, please complete the following form.
Indicates required field
Name of Organization
Address Line 1
Summary of Organization
Please provide the mission and summary of your organization, if this has changed from last year. This content will be shared on the website. If you would like the content to be provided in both English and French, please provide the translations for these components.
What service area(s) is your organization engaged in?
HIV Treatment & Care
Addressing HIV Stigma
Please indicate the services offered by your organization
Please provide web links or @handles to your organization's website and social media
Primary Organization Contact
Please provide details of the primary contact for Voices for World AIDS Day coordination within your organization. This staff member will be engaged in periodic email updates, phone calls, and provided information leading up to the day.
With this application, I understand the expectations of Voices for World AIDS Day and have authority from the AIDS Service Organization listed in the application to apply.
Create your own unique website with customizable templates.