2018 Global Media Report Form
This report notes and celebrates media achievements of you and your fellow advocates! Please fill out this form for each piece of media published or broadcast. Then share your piece on our listserve and with RESULTS staffer Rachel Irwin at rirwin@results.org. (Contact Rachel or Lisa Marchal at lmarchal@results.org if you have any questions.)
Email address *
What's the name of your group, or are you a free agent? *
Your answer
What type of media did you get published or broadcast? *
Author/creator of piece *
Your answer
Is the author/creator a member a RESULTS advocate? *
Date of publication/broadcast *
MM
/
DD
/
YYYY
Name of media outlet *
Your answer
Title of piece *
Your answer
Topic of piece *
Hyperlink to piece *
Your answer
Who filled out this report? *
Your answer
Who is your Regional Coordinator? *
Who did you send this piece to in order to leverage it's impact? *
Your answer
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