Name *

First Name

Last Name

Are you the entity's official media contact? *

Yes

No

Does your entity use these social media platforms? *

Check all that apply.

Instagram

LinkedIn

We do not use social media

Do you have a funder/partner/group that you are required to acknowledge publicly in your communications?

Yes

No

Do you give us permission to publish communications about our partnership with you on social media and our website? *

I give my permission

I do not give my permission