State of Tennessee

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SmartStart™ Community: Sign-up

Here you can sign-up to become a SmartStart™ Community or add/remove a Community Partner (remember each Community Partner must attend a training).

Are you signing up to be a new SmartStart™ Community? *

Yes No

Click "No" to add or remove a Community Partner in an existing SmartStart Community.

Community Partner #1

Organization Name *

Organization Address*

Address Line 1

Address Line 2

City

State

ZIP Code

Name*

First Name

Last Name

Title *

Email*

Phone*

Will this be the primary point of contact for the BERO office? *

Yes No

Note: Minimun of 1 primary point of contact required.

How will this partner benefit the community by participating?*

Community Partner #2

Organization Name *

Organization Address*

Address Line 1

Address Line 2

City

State

ZIP Code

Name*

First Name

Last Name

Title *

Email*

Phone*

Will this be the primary point of contact for the BERO office?*

Yes No

Note: Minimun of 1 primary point of contact required.

How will this partner benefit the community by participating?*

Community Partner #3

Organization Name *

Organization Address*

Address Line 1

Address Line 2

City

State

ZIP Code

Name*

First Name

Last Name

Title *

Email*

Phone*

Will this be the primary point of contact for the BERO office?*

Yes No

Note: Minimun of 1 primary point of contact required.

How will this partner benefit the community by participating?*

Community Training

Do you prefer an in-person or online training?*

In-person Online

All community partners must attend training. Community partners may attend separate trainings if needed.

What time of day? *

What time zone are you in?*

Central Eastern

Are you adding or removing a Community Partner in an existing SmartStart Community?*

Adding a Community Partner Removing a Community Partner Need Other Assistance

Community Partner

Organization Name *

Organization Address*

Address Line 1

Address Line 2

City

State

ZIP Code

Name*

First Name

Last Name

Title *

Email*

Phone*

Will this be the primary point of contact for the BERO office?*

Yes No

Note: Minimun of 1 primary point of contact required.

How will this partner benefit the community by participating?*

Are you removing a Community Partner?

Yes No

Organization Name*

Contact*

Please provide a short description about why you wish to remove the partner. *

Other questions or concerns? Email ecd.SmartStart@tn.gov with "SmartStart Community: Other Assistance Needed" in the subject line.

To find more resources, please refer to this link.