Become an Ally

��

FAU Thrive��Ally

FAU Thrive Allies are community mental health and wellness providers who register as available to provide free services to an impoverished FAU student. (Providers interested in offering a combination of free and discounted services for FAU �Ӱ�ֱ�� may register as both an FAU Thrive Partner and with the OwlPerks Card �Ӱ�ֱ��).

Please visit /thrive/legal/��for important legal information prior to filling out the form.

To register as a Thrive Ally, please complete this form:

Become a Thrive Ally

Provider Name

Business/Practice Name

Business/Practice Address

Email *

Practice Phone Number

Approval to link to your website *

Yes

Website address

About your practice/business (highlight specialty areas in two to three short sentences):

Are you an Alumni of FAU?

Yes

Agreement to legal terms listed at http://fau.edu/thrive/legal *

Yes

�Ӱ�ֱ����

FAU Thrive��Ally

�Ӱ�ֱ��