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Full Name

Phone Number

Email Address

Write a three-sentence biography that tells your professional story

Do you work for a news organization?

Yes, a news organization

Yes, a media organization

No

Organization

Target Audience

Link

Year Founded

Describe your organization and team

What country does your organization operate out of?

What do you plan to publish?

Website

E-mail Newsletter

Social Media (Facebook, Instagram, YouTube, TikTok)

Podcasts

What sources of revenue are you considering?

Subscription or membership

Contributions or donations

Grants or philanthropy

Direct sold ads or sponsorships

Programmatic ads

Events

Other

Other

Topic coverage

News & Politics

Local

Business

Food & Drink

Health & Fitness

Science & Technology

Shared language

Shared country of origin

Shared identity

Sports

Trade publication

Special interest

Other

Geographic coverage

Neighborhood(s)

Town or city

County

State

Region

National

International

N/A

Do you cover a country outside of your country of operation?

Pitch your idea for your organization.

Why do you want to launch this idea?

Why does your audience need your product?

Who are your competitors? Have you seen a similar project elsewhere?

What will success look like for your organization?

What resources or funding have you used to develop your idea so far?

What resources or funding would you need to continue to work on your idea?

Have you registered or incorporated your business?

Yes

Yes, in progress

No, but I want to

No

What progress have you made on your idea so far?

Where do you see your organization in one year?

How do you define financial sustainability for your organization?

How many hours per week can you devote to the program?

Point of Contact

Program Participants

How did you hear about us?

Does any government organization hold any level of ownership, control or voting rights within your organization?

If yes, provide details on the nature of you or your organization’s involvement.