CHANGED Movement Media/Press Request Form

CHANGED Movement Media/Press Request Form
Thank you so much for the opportunity to speak to you regarding the LGTBQ topic! We're grateful for your invitation. Please answer the questions below in order for us to best assist you with your request.
Contact Name*

First NameLast Name
Email Address*
example@example.com
Name of Organization *
Website*
Who would you like to invite for your interview/podcast/etc.?*

A CHANGED Team MemberKen WilliamsElizabeth WoningOther
What kind of request is this?*

Live Interview (In-person or via video platform like Zoom)Pre-recorded InterviewWritten Request for StatementOther
What is the timeline/deadline that you are working with?*
Are there any other voices that will be speaking into this topic/interview?*
Who is your audience (demographic, size, etc.)?*
What communication channels will this interview/statement be hosted on?*

TelevisionRadioOnlineSocial MediaPodcastOther
What specific topics would you like to discuss?*
What specific goals do you have for this interview? Do you have a specific theme/angle that you're hoping to achieve with this interview/statement? *
Can you please provide a list of questions that you would like answered with the interview/statement?*
Have you addressed these topics before? If so, please provide links to any previous interviews/articles/statements.*
Why did you choose to invite CHANGED to speak into this interview/statement*
Thank you for your feedback! We will be contacting you soon with our response to your request.

Blessings,

The CHANGED Team
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