Bad News Good News Interview Request
Contact Info
Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Are you looking to be interviewed as an individual or as a representative of an organization?
*
Individual
Organization Representative
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Individual
What is your current occupation?
*
What are 2-3 projects you have contributed to, and what impacts did they result in? (Please keep responses brief!)
*
If you have a website, please put the link here.
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Organization Representative
Organization Name + Your Affiliation
*
If your organization has a website, please link it here.
Where is your organization located?
*
We are based online/do not have a physical location
Write your address here (Street, Town, State, Zip Code)
What are 2-3 projects you have contributed to, and what impacts did they result in? (Please keep responses brief!)
Submit
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