Request edit access
JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Transplanting Traditions Media Request Form
Thanks for your interest in Transplanting Traditions! Please submit your requests at least three weeks prior to the date you need the request fulfilled in order for us to assess our team's availability.
Sign in to Google
to save your progress.
Learn more
* Indicates required question
What is the name of your company, group or organization?
*
Your answer
What is the name of the point of contact for your organization?
*
Your answer
What is the email of the point of contact for your organization?
*
Your answer
What is the phone number of the point of contact for your organization?
*
Your answer
What is the mission of your organization and how does it align with Transplanting Traditions' mission and vision?
*
Your answer
Briefly describe the purpose of your request.
*
Your answer
What are you requesting? Select all that apply.
*
30-minute or less interview with a staff member
More than 30-minute interview with a staff member
30-minute or less interview with a farmer
More than 30-minute interview with a farmer
Farm tour
In-person meeting
Phone or virtual meeting
Audio recordings
Video recordings
Other:
Required
How will your work be published and/or shared?
*
Newspaper or magazine article
Podcast
Television broadcast
Radio broadcast
Documentary or documentary series
Other:
Required
Please list the specific questions and/or topics you'd like to address. For example, questions should be more specific than “Can you tell me your story?”
*
Your answer
Please briefly state how you expect this collaboration to benefit Transplanting Traditions (org, staff and/or farmers). Also include any direct and tangible compensation TTCF farmers and/or staff might receive from their contributions to this work.
*
Your answer
Who would you like to speak with? Refer to the team bios on our website (
transplantingtraditions.org
-> "About" -> "The Team") and select as many as you like.
*
Ayn Corrigan (Farm Programs Director)
Betsy Jackson (Farm and Educational Programs Manager)
Elly Goetz (Associate Director)
Haeku Paw (Finance and Administration Manager)
Hsar Ree Ree Wei (Executive Director)
Julia Htoo (Executive Assistant)
Kelly Owensby (Founder and former Executive Director)
Mookho Paw (Assistant Farm Manager)
Paw Paw Wei (Leadership Development Coordinator)
TTCF Farmer
Anyone
Required
If you'd like to work with a farmer and do not speak Karen, Chin or Burmese, you will need an interpreter. Please select one of the following:
I have access to an interpreter
I don't have access to an interpreter but will before collaborating with TTCF
I only need to speak with English-speaking TTCF staff members
I would like to pay a TTCF staff member for interpretation services
Clear selection
Do you have a specific date you'd like the request fulfilled? Please list date(s) and time(s) or a range of possible dates and times.
*
Your answer
How many individuals subscribe to or follow your organization? Please also include social media followers.
*
Your answer
What is the predominate demographic of your community of followers and subscribers (e.g. gender, age, race, class, etc.)?
*
Your answer
What is the geographic scope of your work (i.e. how far does or will your work reach)?
*
Your answer
Have you read and do you agree to the guidelines in the "TTCF Guide for Media" document? If you select "No," we may not be able to respond to your request.
*
Yes
No
Is there anything else we should know about your work and this specific request?
*
Your answer
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Transplanting Traditions Community Farm.
Does this form look suspicious?
Report
Forms
Help and feedback
Help Forms improve
Report