Iowa Community HUB

Community Based Organization or Individual Interest Form

Welcome!

Thank you for your interest in partnering with the Iowa Community HUB. We have created this simple on-boarding form to enable us to learn about your interest and connect you with opportunities and resources within the HUB. We welcome participation by organizations and individual program providers.


Filling out the form does not constitute any commitment on your part but allows us to learn more about the needs of potential partners and organizations.


Please complete the information on the form and we will reach out.


This form is not for individuals looking to enroll in programs as a participant. If you are interested in joining HUB related programs, please visit our referral page.

Contact Information

Please provide your contact information so we can follow up with you on next steps and provide additional information and support.

What method of communication would you prefer?
Organizational Structure

We welcome participation by organizations and individual program providers.

Please select which of the following best describes your organization.

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Please select which of the following best describes your role

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(select all that apply)

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The HUB can provide the following services to support program delivery. Select all that apply.

Select all that apply.

HUB Basic Membership

This onboarding process qualifies your organization to receive a FREE Basic HUB Membership.


As a FREE member of the HUB, you receive:

  • Access to our statewide referral networks
  • Statewide program promotion
  • Website resources for program management
  • Access to disability resources for inclusive programming


If you are interested in learning about additional membership benefits, see our Membership Page or contact our HUB Administrator at rallard@iacommunityhub.org.