Media Request Form

Media Request Form

Complete this form to request logo toolkits, images, other creative assets, or to schedule an interview for a press opportunity. For time-sensitive requests please call Danielle Weitlauf at 727-686-8565.
Your Name*

First NameLast Name
Your Email*
Your Phone Number
Organization Name*
How would you prefer the Foundation reply to your request?

Phone CallEmailTextAny
Is the request time-sensitive?*

Yes, an interview or comment is needed ASAPYes, within 24-48 hoursNo, there is a longer time-horizon
Request Type (select all that apply)*

high-resolution logos and brand toolkitstatement or quoteinterview for written piecevideo interviewspeaking engagement at a conference, summit or eventimages/ videos / permission to use FHSP assetsboilerplateOther
Who is your desired contact for interview requests?*

Randall H. Russell, President and CEOCarl R. Lavender, Chief Equity OfficerJessica Estevez, Co-Founder of Estrategia Group (Leading FHSP Latinx outreach)A relevant community partner, or one of the Foundation's funded partners.I'm not sure, please connect me with the best fit based on my request
Where will the content be published? Select all that apply.*

Organization's websitePhysical paper, or magazineSocial mediaTVRadioPodcastOther
If "other" please elaborate.
Anticipated date of publication, or speaking engagement.*
(MM/DD/YYYY)
What do you need and how will it be used?*
E.g., "We need the Center's logo to make a flyer for an event we are hosting there."
Please share request details. Include how the interview/quote/logo will be used, story details, and why the Foundation is considered for the request. *
When do you need these things?*
Share a date or a span of time, like "in the next few weeks" or "by Dec 1st at the latest"
Should be Empty:

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