Media & Speaking Request Form

At the L.I.G.H.T. Foundation (LF), we believe that sharing Our Voices in advocacy for all our Spirit Relatives* who have none is a sacred duty.  It allows us to protect our ancestral lands, advocate for our rights, and preserve our environmental heritage and cultural ecologies.  These actions are essential for ensuring our voices are heard and our traditions are passed down to future generations.  See the LF webpage Our Voices for an overview of how we exercise our free speech rights to advocate on behalf of all our Spirit Relatives.

Please fill out this form to the best of your ability, and a LF team member will follow-up with you.  We ask that Media & Speaking Requests are made at least 4 (four) weeks from the date of submitting this form, when possible.

*Spirit Relatives: Traditional foods & first foods, sacred & spiritual plants, animals & places, plant & animal medicines, fibers & materials.

Sign in to Google to save your progress. Learn more
Email *
Full name of individual making this request (first and last name): *
Preferred pronoun/s: *
Preferred email address *
Phone number: *
Employer, or organization representing: *
Job title, or role of organization you represent: *
Are you Indigenous, or is your organization Indigenous-led? *
If applicable, identify name of your Tribal Nation, Native community, Indigenous organization, or Indigenous affiliation (if not applicable, write N/A): *
Website of your employer, or organization you represent (if no website is available, write N/A): *
What is the size of your audience (i.e., social media following, newsletter subscribers, number of listeners, number of viewers, etc.)? Please provide an estimate. *
How does your work align with LF's Mission, Tenets, and/or Initiatives?  For reference, see: https://thepnwlf.org/.   *
Have you featured or worked with LF in the past? *
What is the type of media/speaking request? *
What is the timeline of the speaking request?  Identify the start and end date of the event or project.  Where possible, we ask for at least 4 weeks notice. *
What is the time zone of the speaking request?  For reference, see:  timeanddate.com
Is this request required to be in-person or remote/online? *
If the request is remote/online, what will be the meeting connection format?  Example: Zoom, MS Teams, etc. (if not applicable, write N/A). *
If the request is in-person, is funding for travel support available for airfare, hotel, and/or meal expenses (if not applicable, write N/A)? *
How much time is required for LF's participation in this speaking request?   *
What is the topic area and/or project you are requesting to hear LF speak about?  Select all that apply. *
Required
Are you able to provide an honorarium to cover LF's preparation and speaking time?  If not, please describe. *
If the outcome of this speaking request will be recorded (audio/video), printed, published, or otherwise distributed online or through media outlet/s:
1) LF reserves the right to review and/or edit the content prior to final distribution, and 
2) LF reserves the right to collaborate with you on marketing and media promotion of the content, including through the LF website, newsletters, and social media outlets.  
Question: Do you consent?
*
Identify the date that you have completed this form. *
MM
/
DD
/
YYYY
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy

Does this form look suspicious? Report