Messaging Partner Application Basic Organization Information Please leave this field empty. Organization Name: Do you use an acronym for your organization’s name? If so, what is it? Organization’s mission: Organizations Founding year: Website URL: Organizations Facebook page name: Organizations Twitter Handle: Name of main point of contact: Point of contact email: Head of the organization: Head of the organization title: Mailing Address: City: State: Zip Code: Telephone: Size of Staff: How many people serve on your board of directors? What was the organization’s budget for the past two years (including in-kind donations)? $ What was the organizations communications budget for the past two years? $ What policy areas is your organization actively addressing? What are the most common outreach tools your organizations uses to reach the general public? Has your organization ever aired a radio ad? If so, when? Please attach a clip of the ad, if available. Upload Share your public interest message with the country Please share your organization’s top 3 issues/project/campaigns that you believe are the most important to the public good and why you believe this issue would resonate with a national audience. 1. 2. 3. Public Service Announcements share a core message relevant to its audience and drive someone to take a specific action. If you had 15-, 30-, or 60- seconds to talk to the general public about on of the pressing issues being addressed by your organization what would you say in… 15s (Approx 35 words) of approximately 35 words. 30s (Approx 70 words) of approximately 70 words. 60s (Approx 145 words) of approximately 145 words. Would your organization be able to provide a feature/giveaway in your call to action? For example, a free pocket Constitution, downloadable pamphlet, information cards, or other electronic or physically mailed correspondence. YesNo Although we will keep a number of metrics related to our campaigns, what information would be the most relevant for you to determine success of our PSA for your organization?(Examples: number of email addresses, physical addresses or the number of times the PSA aired and donor conversion rates) As a charter Message Partner, would you be willing to provide feedback to the AMC about the PSA production process and ways we could better serve our Message Partners? YesNo
