Country * Afghanistan Albania Algeria American Samoa Andorra Angola Anguilla Antigua and Barbuda Argentina Armenia Aruba Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bosnia and Herzegovina Botswana Brazil British Virgin Islands British Indian Ocean Territory Brunei Bulgaria Burkina Faso Burundi Cambodia Cameroon Canada Cape Verde Cayman Islands Central African Republic Chad Chile China Christmas Island Colombia Comoros Islands Congo, Democratic Republic of the Congo, Republic of the Cook Islands Costa Rica Cote D'ivoire Croatia Cuba Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic East Timor Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Falkland Islands (Malvinas) Faroe Islands Fiji Finland France French Guiana French Polynesia French Southern Territories Gabon Gambia Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guadeloupe Guam Guatemala Guinea Guinea-Bissau Guyana Haiti Holy See (Vatican City State) Honduras Hong Kong Hungary Iceland India Indonesia Iran Iraq Republic of Ireland Israel Italy Jamaica Japan Jordan Kazakhstan Kenya Kiribati South Korea Kosovo Kuwait Kyrgyzstan Laos Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macau Macedonia Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Martinique Mauritania Mauritius Mayotte Mexico Micronesia Moldova, Republic of Monaco Mongolia Montenegro Montserrat Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands Netherlands Antilles New Caledonia New Zealand Nicaragua Niger Nigeria Niue Norfolk Island Northern Mariana Islands Norway Oman Pakistan Palau Panama Papua New Guinea Paraguay Peru Philippines Pitcairn Island Poland Portugal Puerto Rico Qatar Reunion Romania Russian Federation Rwanda Saint Kitts and Nevis Saint Lucia Saint Vincent and the Grenadines Samoa San Marino Sao Tome and Principe Saudi Arabia Senegal Serbia Seychelles Sierra Leone Singapore Slovakia Slovenia Solomon Islands Somalia South Africa South Sudan Spain Sri Lanka St. Helena St. Pierre and Miquelon Sudan Suriname Syria Swaziland Sweden Switzerland Taiwan Tajikistan Tanzania Thailand Togo Tokelau Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Turks and Caicos Islands Tuvalu Uganda Ukraine United Arab Emirates United Kingdom United States Uruguay Uzbekistan Vanuatu Venezuela Viet Nam Virgin Islands (U.S.) Wallis and Futuna Islands Western Sahara Yemen Zambia Zimbabwe
State/Region/Province * AK AL AR AZ CA CO CT DC DE FL GA HI IA ID IL IN KS KY LA MA MD ME MI MN MO MS MT NC ND NE NH NJ NM NV NY OH OK OR PA RI SC SD TN TX UT VA VT WA WI WV WY -- AA AE AP AS FM GU MH MP PR PW VI
Which training are you applying for? * Select... Washington, DC - May 17 (5.00pm) to 19 (5.00pm) Washington, DC - June 7 (5.00pm) to 9 (5.00pm) Either is possible
Are you a recognised thought leader in your area of expertise. Please explain. *
Are you a media spokesperson for your organization *
Are you a member of WMC SheSource? *
Women's Media Center is a feminist organization, and our WMC Progressive Women's Voices program seeks to infuse the media with the perspectives of progressive, diverse, feminist women. In your own words, briefly describe your relationship to feminism or similar perspectives (womanist, mujerist, women's rights, etc.), and to intersectionality. How does your progressive perspective impact your work. (1,600 characters max) *
Copy and paste your bio into the field below. (4,000 characters max) *
What is your media platform (i.e. key affiliations, books authored, blogs)? If you were on TV tonight, how would you be identified onscreen? (250 characters max) *
Who handles your media opportunities (i.e. communications department, PR firm, colleague, self, etc.)? Does this involve an approval process? Are you generally available for media appearances year-round? (250 characters max) *
Tell us about your media experience, including print, radio, television and online, including 2-6 ONLINE LINKS of media coverage and/or published articles. NOTE: We would like to see at least one video clip -- if you do not have video from a media appearance, we suggest filming yourself discussing your expertise. You can use your phone or computer's camera, or a digital camera that takes video. Quality does not matter. We recommend uploading the video to YouTube to generate a link. *
Please list three media goals for 2019 and tell us what barriers or challenges are preventing you from reaching those goals today. (1,200 characters max) *
What are you hoping to get out of the WMC Progressive Women's Voices program? (1,200 characters max) *
Do you have any scheduling conflicts with the in-person training dates (May 17 - 19 OR June 7 - 9)? (400 characters max) *
WMC Progressive Women's Voices requires that you provide two references we may contact who are familiar with your expertise and ability to passionately communicate. REFERENCE (1): Please list your reference's Name, Organization, Title, Relationship to you, Length of time known, Phone, and Email. *
REFERENCE (2): Please list your reference's Name, Organization, Title, Relationship to you, Length of time known, Phone, and Email. *
How did you hear about WMC Progressive Women's Voices? *
As a member of the WMC Progressive Women's Voices program, we require that you commit to the following:
1. To return the pre-training questionnaire in a timely manner.
2. To attend one two-and-a-half-day in-person intensive training in Washington DC.
3. To come to the training prepared to work on a written message development plan.
4. To become a member of WMC SheSource and accept media opportunities as possible.
5. To work towards defined media goals.
6. To join the WMC PWV Alumnae Facebook Group.
You are also strongly encouraged to pitch the WMC Features, WMC Speech Project, WMC Women Under Siege and WMC FBomb.
By submitting your application, you are agreeing to these commitments. *
Ensuring diversity is at the core of all the work we do at the Women's Media Center. Please help us by providing your demographic information. This self-identification data is voluntary and will be kept confidential.
Race/ethnicity: Select... Black/African American American Indian/Alaskan Native Arab/Middle Eastern Asian Hispanic Native Hawiian/Other Pacific Islander White Mixed Other (please specify below)
Gender identity: Select... Female Transgender Other
Sexual orientation: Select... Gay/Lesbian Bisexual Heterosexual Other