Communication Request Form
Name
*
First Name
Last Name
Email
*
example@example.com
THEF Position
*
Deadline or occurrence date
-
Month
-
Day
Year
If applicable
What date(s) should we post this content?
*
Where would you like this information to be published?
*
Linkedin
Twitter
Newsletter
Website
Eblast
What specific information should be communicated?
*
What text should be included in the post?
Insert any hyperlinks with labels
Make it easier to navigate to more information.
Pictures or Videos drive the most interaction. Please attach them here!
Browse Files
Cancel
of
Attestation
*
I hereby consent and agree that the Triangle Healthcare Executive Forum of North Carolina (THEF NC) has permission to use my images in all communications including website, newsletter, and social media now and hereafter known. I hereby release to Triangle Healthcare Executive Forum of North Carolina (THEF NC) all rights to exhibit my photograph in print or electronic form publicly. I waive any rights, claims or interest I may have to control the use of my identity or likeness in the image and agree that any uses described herein may be made without compensation or additional consideration of me. By checking this box, I acknowledge that I have completely read and fully understand the above release and agree to be bound thereby. I hereby release all claims against Triangle Healthcare Executive Forum of North Carolina (THEF NC) utilizing this material.
What is the goal for THEF to communicate this information?
*
THEF sponsored event
Continuing Education
Member benefit
Promotes Mission, Vision, Values
Supports Strategic Plan
Will this event be recorded?
Yes
No
Additional Questions / Comments-
**All information submitted will be reviewed to determine placement within the THEF's strategic communication plan.
Submit
Should be Empty: