DV Awareness Telethon Interest Form

DOMESTIC VIOLENCE AWARENESS: IT'S TIME TO GET OUT TELETHON

INTEREST FORM

The Domestic Violence Awareness Telethon is taking place the entire month of October 2024. We are looking for speakers, MCs, support staff, sponsors, etc.

Where do you see yourself supporting our mission to help a million women and men get out of their domestic violence situation?

We will be hosting the Domestic Violence Awareness: It's Time to Get Out Telethon the entire month of October 2024.

We are looking for speakers who are open to sharing their story of getting out and how it's transformed your life.

We are also looking for speakers who can speak on helping people get out of the domestic violence situation. DV is not limited only to family, but sometimes spills over to jobs and friendships.

The mission of the Telethon is to inspire and motivate people to take action to change their lives. It will be a fundraising endeavor to support DV centers throughout the world.

The Telethon will run 24 hous a day for 31 days (the entire month of October) -- a total of 1,488 speakers/sponsors. We will need hosts from all over the globe to help us put on this event.

As you can imagine, this is a huge undertaking and we need your help.

First Name*

Last Name

E-mail*

U.S. Phone Number (your BEST number)

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Country other than U.S. Mobile Phone Number (your BEST number)

Country CodeArea CodePhone Number

What is your website (full URL including http or https)?*

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What is your Facebook profile URL?*

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What is your Instagram handle?*

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Check all that apply.*

I am interested in being a speakerI am interested in being interviewed about my storyI would like to be an MCI would like to help behind the scenesI would like to help with marketing, PR, and/or social mediaI would like to learn more about sponsorshipOther