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First Name

Last Name

Email

Organization / Company Name

Primary Website URL

What state is the entity registered in, if any? Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District Of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming N/A

What is your job title or role?

How does the organization publish? Online, print, broadcast, etc?

Check this box if your entity IS a tax-exempt organization Tax-exempt

Please tell us why you're contacting us Pro Bono Request Program Partnership Media or Press Inquiry Event or Speaking Invitation Request for Information Volunteer or Internship Interest Donation or Funding Support Campaign or Advocacy Collaboration Other

Briefly describe the general nature of your inquiry. Please do not include any non-public, confidential or sensitive information. Contacting Lawyers for Reporters does not create an attorney-client relationship.

Area of interest (please select up to 3) Human rightsRule of lawPro bono practiceDiversity in the legal professionWomen in the ProfessionEnvironmental justiceInstitutional integrity/anti-corruptionMedia freedom/public interest reportingRegional programs: AfricaRegional programs: Latin America

Preferred Language of Communication English Spanish

Briefly describe the organization's target audience and approximate audience size

How did you hear about us? Colleague or Personal Referral Event or Webinar Social Media Email or Newsletter Online Search Partner Organization Law Firm Pro Bono Project Other

Would you like to receive general updates from the Vance Center? Yes

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