{"id":6943,"date":"2026-09-28T18:33:57","date_gmt":"2026-09-28T22:33:57","guid":{"rendered":"https:\/\/health.uconn.edu\/health-disparities\/?page_id=6943"},"modified":"2026-09-28T18:34:53","modified_gmt":"2026-09-28T22:34:53","slug":"community-led-event-proposal-form","status":"publish","type":"page","link":"https:\/\/health.uconn.edu\/health-disparities\/menopauseequity\/community-led-event-proposal-form\/","title":{"rendered":"Community Led Event Proposal Form"},"content":{"rendered":"<p>The UConn Health Disparities Institute\u2019s <a href=\"https:\/\/health.uconn.edu\/health-disparities\/menopauseequity\/\" class=\"broken_link\">Menopause Equity Initiative <\/a>partners with community organizations across Connecticut (<a href=\"https:\/\/health.uconn.edu\/health-disparities\/wp-content\/uploads\/sites\/260\/2025\/10\/Menopause-Equity-Collective-Headshots-and-Bios.pdf\">The Menopause Equity Collective<\/a>) to raise awareness, support healing, and expand education about menopause. We encourage community members and organizations to host their own menopause equity events, and we are here to support you.<\/p>\n<h3>How to Request Event Support<\/h3>\n<p>Use this form to request HDI partnership and free resources for your community-led event. Our goal is to help make your event successful, culturally relevant, and accessible.<\/p>\n<h3><span>Who Is Eligible to Apply?<\/span><\/h3>\n<p>We welcome requests from community organizations, advocacy groups, faith-based groups, healthcare partners, businesses, and individuals committed to menopause awareness and education. We especially encourage applications from those serving underserved or historically excluded communities, and those who share HDI\u2019s <a href=\"https:\/\/health.uconn.edu\/health-disparities\/mission-vision-and-values\/\">mission, vision, and values<\/a>.<\/p>\n<p>Events may be in-person, virtual, or hybrid.<\/p>\n<h3><span>Resources You Can Request<\/span><\/h3>\n<ul>\n<li>Free access to The M Factor: Shredding the Silence on Menopause documentary for public screenings<\/li>\n<li>Thought partnership and event planning support from HDI<\/li>\n<li>Speaker suggestions and referrals<\/li>\n<li>Information about Continuing Medical Education (CME) credits for healthcare professionals<\/li>\n<li>Event promotion through HDI and partner social media, website, and email lists<\/li>\n<li>Tabling at in-person or hybrid events, depending on capacity<\/li>\n<li>Additional support tailored to your needs<\/li>\n<\/ul>\n<div>\n<p><b>Questions? Contact:<\/b><\/p>\n<ul>\n<li><span>M<\/span><span>alia Hunt, HDI Graduate Intern \u2013 <a href=\"mailto:malia.hunt@uchc.edu\">malia.hunt@uchc.edu<\/a><br \/>\n<\/span><\/li>\n<li><span>Trisha Pitter, Director of Community Learning &amp; Education\/Instructional Designer \u2013 <a href=\"mailto:tpitter@uchc.edu\">tpitter@uchc.edu<\/a>\u00a0<\/span><\/li>\n<\/ul>\n<script type=\"text\/javascript\">var gform;gform||(document.addEventListener(\"gform_main_scripts_loaded\",function(){gform.scriptsLoaded=!0}),window.addEventListener(\"DOMContentLoaded\",function(){gform.domLoaded=!0}),gform={domLoaded:!1,scriptsLoaded:!1,initializeOnLoaded:function(o){gform.domLoaded&&gform.scriptsLoaded?o():!gform.domLoaded&&gform.scriptsLoaded?window.addEventListener(\"DOMContentLoaded\",o):document.addEventListener(\"gform_main_scripts_loaded\",o)},hooks:{action:{},filter:{}},addAction:function(o,n,r,t){gform.addHook(\"action\",o,n,r,t)},addFilter:function(o,n,r,t){gform.addHook(\"filter\",o,n,r,t)},doAction:function(o){gform.doHook(\"action\",o,arguments)},applyFilters:function(o){return gform.doHook(\"filter\",o,arguments)},removeAction:function(o,n){gform.removeHook(\"action\",o,n)},removeFilter:function(o,n,r){gform.removeHook(\"filter\",o,n,r)},addHook:function(o,n,r,t,i){null==gform.hooks[o][n]&&(gform.hooks[o][n]=[]);var e=gform.hooks[o][n];null==i&&(i=n+\"_\"+e.length),gform.hooks[o][n].push({tag:i,callable:r,priority:t=null==t?10:t})},doHook:function(n,o,r){var t;if(r=Array.prototype.slice.call(r,1),null!=gform.hooks[n][o]&&((o=gform.hooks[n][o]).sort(function(o,n){return o.priority-n.priority}),o.forEach(function(o){\"function\"!=typeof(t=o.callable)&&(t=window[t]),\"action\"==n?t.apply(null,r):r[0]=t.apply(null,r)})),\"filter\"==n)return r[0]},removeHook:function(o,n,t,i){var r;null!=gform.hooks[o][n]&&(r=(r=gform.hooks[o][n]).filter(function(o,n,r){return!!(null!=i&&i!=o.tag||null!=t&&t!=o.priority)}),gform.hooks[o][n]=r)}});<\/script>\n                <div class='gf_browser_gecko gform_wrapper gravity-theme gform-theme--no-framework' data-form-theme='gravity-theme' data-form-index='0' id='gform_wrapper_35' ><form method='post' enctype='multipart\/form-data'  id='gform_35'  action='\/health-disparities\/wp-json\/wp\/v2\/pages\/6943' data-formid='35' novalidate>\n                        <div class='gform-body gform_body'><div id='gform_fields_35' class='gform_fields top_label form_sublabel_below description_below validation_below'><div id=\"field_35_5\" class=\"gfield gfield--type-textarea gfield--input-type-textarea gfield--width-full gfield_contains_required field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_35_5\" ><label class='gfield_label gform-field-label' for='input_35_5'>First &amp; Last Name(s)<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_5' id='input_35_5' class='textarea small'  aria-describedby=\"gfield_description_35_5\"   aria-required=\"true\" aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><div class='gfield_description' id='gfield_description_35_5'>If multiple people are leading this event, please list all names.<\/div><\/div><div id=\"field_35_6\" class=\"gfield gfield--type-email gfield--input-type-email gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_35_6\" ><label class='gfield_label gform-field-label' for='input_35_6'>Contact Email Address<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_email'>\n                            <input name='input_6' id='input_35_6' type='email' value='' class='large'    aria-required=\"true\" aria-invalid=\"false\"  \/>\n                        <\/div><\/div><div id=\"field_35_7\" class=\"gfield gfield--type-phone gfield--input-type-phone gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_35_7\" ><label class='gfield_label gform-field-label' for='input_35_7'>Contact Phone Number<\/label><div class='ginput_container ginput_container_phone'><input name='input_7' id='input_35_7' type='tel' value='' class='large'    aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_35_8\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_35_8\" ><label class='gfield_label gform-field-label' for='input_35_8'>Organization Name (if applicable)<\/label><div class='ginput_container ginput_container_text'><input name='input_8' id='input_35_8' type='text' value='' class='large'      aria-invalid=\"false\"   \/> <\/div><\/div><fieldset id=\"field_35_9\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_35_9\" ><legend class='gfield_label gform-field-label gfield_label_before_complex' >What type of group or organization are you representing? (Select all that apply.)<\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox' id='input_35_9'><div class='gchoice gchoice_35_9_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_9.1' type='checkbox'  value='Local nonprofit or community-based organization (CBO)'  id='choice_35_9_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_35_9_1' id='label_35_9_1' class='gform-field-label gform-field-label--type-inline'>Local nonprofit or community-based organization (CBO)<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_35_9_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_9.2' type='checkbox'  value='Grassroots community group'  id='choice_35_9_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_35_9_2' id='label_35_9_2' class='gform-field-label gform-field-label--type-inline'>Grassroots community group<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_35_9_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_9.3' type='checkbox'  value='Community member (individual)'  id='choice_35_9_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_35_9_3' id='label_35_9_3' class='gform-field-label gform-field-label--type-inline'>Community member (individual)<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_35_9_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_9.4' type='checkbox'  value='Neighborhood association'  id='choice_35_9_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_35_9_4' id='label_35_9_4' class='gform-field-label gform-field-label--type-inline'>Neighborhood association<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_35_9_5'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_9.5' type='checkbox'  value='Statewide or national nonprofit'  id='choice_35_9_5'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_35_9_5' id='label_35_9_5' class='gform-field-label gform-field-label--type-inline'>Statewide or national nonprofit<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_35_9_6'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_9.6' type='checkbox'  value='Advocacy or policy organization'  id='choice_35_9_6'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_35_9_6' id='label_35_9_6' class='gform-field-label gform-field-label--type-inline'>Advocacy or policy organization<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_35_9_7'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_9.7' type='checkbox'  value='Local government'  id='choice_35_9_7'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_35_9_7' id='label_35_9_7' class='gform-field-label gform-field-label--type-inline'>Local government<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_35_9_8'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_9.8' type='checkbox'  value='State agency'  id='choice_35_9_8'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_35_9_8' id='label_35_9_8' class='gform-field-label gform-field-label--type-inline'>State agency<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_35_9_9'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_9.9' type='checkbox'  value='Federal agency'  id='choice_35_9_9'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_35_9_9' id='label_35_9_9' class='gform-field-label gform-field-label--type-inline'>Federal agency<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_35_9_11'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_9.11' type='checkbox'  value='K-12 School'  id='choice_35_9_11'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_35_9_11' id='label_35_9_11' class='gform-field-label gform-field-label--type-inline'>K-12 School<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_35_9_12'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_9.12' type='checkbox'  value='School district administration'  id='choice_35_9_12'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_35_9_12' id='label_35_9_12' class='gform-field-label gform-field-label--type-inline'>School district administration<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_35_9_13'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_9.13' type='checkbox'  value='College or university'  id='choice_35_9_13'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_35_9_13' id='label_35_9_13' class='gform-field-label gform-field-label--type-inline'>College or university<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_35_9_14'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_9.14' type='checkbox'  value='Early childhood program \/ childcare center'  id='choice_35_9_14'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_35_9_14' id='label_35_9_14' class='gform-field-label gform-field-label--type-inline'>Early childhood program \/ childcare center<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_35_9_15'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_9.15' type='checkbox'  value='Public Library'  id='choice_35_9_15'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_35_9_15' id='label_35_9_15' class='gform-field-label gform-field-label--type-inline'>Public Library<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_35_9_16'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_9.16' type='checkbox'  value='Museum \/ cultural institution'  id='choice_35_9_16'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_35_9_16' id='label_35_9_16' class='gform-field-label gform-field-label--type-inline'>Museum \/ cultural institution<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_35_9_17'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_9.17' type='checkbox'  value='Faith-based organization or ministry'  id='choice_35_9_17'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_35_9_17' id='label_35_9_17' class='gform-field-label gform-field-label--type-inline'>Faith-based organization or ministry<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_35_9_18'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_9.18' type='checkbox'  value='Hospital or health system'  id='choice_35_9_18'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_35_9_18' id='label_35_9_18' class='gform-field-label gform-field-label--type-inline'>Hospital or health system<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_35_9_19'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_9.19' type='checkbox'  value='Clinic or Federally Qualified Health Center (FQHC)'  id='choice_35_9_19'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_35_9_19' id='label_35_9_19' class='gform-field-label gform-field-label--type-inline'>Clinic or Federally Qualified Health Center (FQHC)<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_35_9_21'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_9.21' type='checkbox'  value='Public health department'  id='choice_35_9_21'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_35_9_21' id='label_35_9_21' class='gform-field-label gform-field-label--type-inline'>Public health department<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_35_9_22'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_9.22' type='checkbox'  value='Small business'  id='choice_35_9_22'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_35_9_22' id='label_35_9_22' class='gform-field-label gform-field-label--type-inline'>Small business<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_35_9_23'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_9.23' type='checkbox'  value='Corporation'  id='choice_35_9_23'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_35_9_23' id='label_35_9_23' class='gform-field-label gform-field-label--type-inline'>Corporation<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_35_9_24'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_9.24' type='checkbox'  value='Other'  id='choice_35_9_24'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_35_9_24' id='label_35_9_24' class='gform-field-label gform-field-label--type-inline'>Other<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_35_42\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_35_42\" ><h3 class=\"gsection_title\">Event Overview<\/h3><\/div><div id=\"field_35_10\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_35_10\" ><label class='gfield_label gform-field-label' for='input_35_10'>Proposed Event Title<\/label><div class='ginput_container ginput_container_text'><input name='input_10' id='input_35_10' type='text' value='' class='large'  aria-describedby=\"gfield_description_35_10\"    aria-invalid=\"false\"   \/> <\/div><div class='gfield_description' id='gfield_description_35_10'>Please share the working title of your event. This can be a draft. We can help refine it if needed.<\/div><\/div><div id=\"field_35_11\" class=\"gfield gfield--type-textarea gfield--input-type-textarea gfield--width-full field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_35_11\" ><label class='gfield_label gform-field-label' for='input_35_11'>Please provide a brief description of your event, including your goals and the activities you are planning.<\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_11' id='input_35_11' class='textarea small'  aria-describedby=\"gfield_description_35_11\"    aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><div class='gfield_description' id='gfield_description_35_11'>You may include the purpose of the event, who it\u2019s designed for, key activities (e.g., screening, discussion, workshop), and any important details you\u2019d like us to know.<\/div><\/div><div id=\"field_35_12\" class=\"gfield gfield--type-date gfield--input-type-date gfield--input-type-datepicker gfield--datepicker-no-icon gfield--width-half field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_35_12\" ><label class='gfield_label gform-field-label' for='input_35_12'>Anticipated Date<\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_12' id='input_35_12' type='text' value='' class='datepicker gform-datepicker mdy datepicker_no_icon gdatepicker-no-icon'   placeholder='mm\/dd\/yyyy' aria-describedby=\"input_35_12_date_format\" aria-invalid=\"false\" \/>\n                            <span id='input_35_12_date_format' class='screen-reader-text'>MM slash DD slash YYYY<\/span>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_35_12' class='gform_hidden' value='https:\/\/health.uconn.edu\/health-disparities\/wp-content\/plugins\/gravityforms\/images\/datepicker\/datepicker.svg'\/><\/div><fieldset id=\"field_35_13\" class=\"gfield gfield--type-time gfield--input-type-time gfield--width-half field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_35_13\" ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Anticipated Time<\/legend><div class=\"ginput_container ginput_complex gform-grid-row\">\n                        <div class='gfield_time_hour ginput_container ginput_container_time gform-grid-col' id='input_35_13'>\n                            <input type='number' maxlength='2' name='input_13[]' id='input_35_13_1' value=''  min='0' max='12' step='1'  placeholder='HH' aria-required='false'   \/> \n                            <label class='gform-field-label gform-field-label--type-sub hour_label screen-reader-text' for='input_35_13_1'>Hours<\/label>\n                        <\/div>\n                        <div class=\"below hour_minute_colon gform-grid-col\">:<\/div>\n                        <div class='gfield_time_minute ginput_container ginput_container_time gform-grid-col'>\n                            <input type='number' maxlength='2' name='input_13[]' id='input_35_13_2' value=''  min='0' max='59' step='1'  placeholder='MM' aria-required='false'  \/>\n                            <label class='gform-field-label gform-field-label--type-sub minute_label screen-reader-text' for='input_35_13_2'>Minutes<\/label>\n                        <\/div>\n                        <div class='gfield_time_ampm ginput_container ginput_container_time below gform-grid-col' >\n                                \n                                <select name='input_13[]' id='input_35_13_3'  >\n                                    <option value='am' >AM<\/option>\n                                    <option value='pm' >PM<\/option>\n                                <\/select> \n                                <label class='gform-field-label gform-field-label--type-sub am_pm_label screen-reader-text' for='input_35_13_3'>AM\/PM<\/label>                                \n                           <\/div>\n                    <\/div><\/fieldset><div id=\"field_35_14\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_35_14\" ><label class='gfield_label gform-field-label' for='input_35_14'>Estimated Event Duration<\/label><div class='ginput_container ginput_container_text'><input name='input_14' id='input_35_14' type='text' value='' class='large'      aria-invalid=\"false\"   \/> <\/div><\/div><fieldset id=\"field_35_16\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_35_16\" ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Is this a closed\/invited event or open to the public?<\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox' id='input_35_16'><div class='gchoice gchoice_35_16_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_16.1' type='checkbox'  value='Open to the public'  id='choice_35_16_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_35_16_1' id='label_35_16_1' class='gform-field-label gform-field-label--type-inline'>Open to the public<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_35_16_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_16.2' type='checkbox'  value='Invitation only'  id='choice_35_16_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_35_16_2' id='label_35_16_2' class='gform-field-label gform-field-label--type-inline'>Invitation only<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_35_16_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_16.3' type='checkbox'  value='Hybrid (some public, some invitation-based)'  id='choice_35_16_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_35_16_3' id='label_35_16_3' class='gform-field-label gform-field-label--type-inline'>Hybrid (some public, some invitation-based)<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_35_17\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_35_17\" ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Event format<\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox' id='input_35_17'><div class='gchoice gchoice_35_17_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_17.1' type='checkbox'  value='In-Person'  id='choice_35_17_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_35_17_1' id='label_35_17_1' class='gform-field-label gform-field-label--type-inline'>In-Person<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_35_17_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_17.2' type='checkbox'  value='Virtual'  id='choice_35_17_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_35_17_2' id='label_35_17_2' class='gform-field-label gform-field-label--type-inline'>Virtual<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_35_17_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_17.3' type='checkbox'  value='Hybrid'  id='choice_35_17_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_35_17_3' id='label_35_17_3' class='gform-field-label gform-field-label--type-inline'>Hybrid<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_35_15\" class=\"gfield gfield--type-text gfield--input-type-text field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_35_15\" ><label class='gfield_label gform-field-label' for='input_35_15'>If your event is in person or hybrid, please provide the venue name.<\/label><div class='ginput_container ginput_container_text'><input name='input_15' id='input_35_15' type='text' value='' class='large'      aria-invalid=\"false\"   \/> <\/div><\/div><div id=\"field_35_18\" class=\"gfield gfield--type-text gfield--input-type-text field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_35_18\" ><label class='gfield_label gform-field-label' for='input_35_18'>Venue address (if applicable)<\/label><div class='ginput_container ginput_container_text'><input name='input_18' id='input_35_18' type='text' value='' class='large'  aria-describedby=\"gfield_description_35_18\"    aria-invalid=\"false\"   \/> <\/div><div class='gfield_description' id='gfield_description_35_18'>Street, city, and state. Write \u201cTBD\u201d if you are still confirming the location.<\/div><\/div><fieldset id=\"field_35_19\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_35_19\" ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Estimated number of attendees<\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox' id='input_35_19'><div class='gchoice gchoice_35_19_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_19.1' type='checkbox'  value='Fewer than 10'  id='choice_35_19_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_35_19_1' id='label_35_19_1' class='gform-field-label gform-field-label--type-inline'>Fewer than 10<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_35_19_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_19.2' type='checkbox'  value='10\u201325'  id='choice_35_19_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_35_19_2' id='label_35_19_2' class='gform-field-label gform-field-label--type-inline'>10\u201325<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_35_19_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_19.3' type='checkbox'  value='26\u201350'  id='choice_35_19_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_35_19_3' id='label_35_19_3' class='gform-field-label gform-field-label--type-inline'>26\u201350<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_35_19_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_19.4' type='checkbox'  value='51\u2013100'  id='choice_35_19_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_35_19_4' id='label_35_19_4' class='gform-field-label gform-field-label--type-inline'>51\u2013100<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_35_19_5'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_19.5' type='checkbox'  value='More than 100'  id='choice_35_19_5'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_35_19_5' id='label_35_19_5' class='gform-field-label gform-field-label--type-inline'>More than 100<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_35_19_6'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_19.6' type='checkbox'  value='Unsure'  id='choice_35_19_6'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_35_19_6' id='label_35_19_6' class='gform-field-label gform-field-label--type-inline'>Unsure<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_35_20\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_35_20\" ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Will your event be free?<\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox' id='input_35_20'><div class='gchoice gchoice_35_20_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_20.1' type='checkbox'  value='Yes'  id='choice_35_20_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_35_20_1' id='label_35_20_1' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_35_20_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_20.2' type='checkbox'  value='No'  id='choice_35_20_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_35_20_2' id='label_35_20_2' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_35_20_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_20.3' type='checkbox'  value='Not sure yet'  id='choice_35_20_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_35_20_3' id='label_35_20_3' class='gform-field-label gform-field-label--type-inline'>Not sure yet<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_35_21\" class=\"gfield gfield--type-textarea gfield--input-type-textarea gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_35_21\" ><label class='gfield_label gform-field-label' for='input_35_21'>If your event has a cost, please provide details below (e.g., ticket price, sliding scale options, free scholarship spots, etc.).<\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_21' id='input_35_21' class='textarea small'      aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><div id=\"field_35_41\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_35_41\" ><h3 class=\"gsection_title\">Audience &amp; Equity Focus<\/h3><\/div><fieldset id=\"field_35_22\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_35_22\" ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Which communities is your event intentionally aiming to reach or center? (Select all that apply.)<\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox' id='input_35_22'><div class='gchoice gchoice_35_22_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_22.1' type='checkbox'  value='Black \/ African American communities'  id='choice_35_22_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_35_22_1' id='label_35_22_1' class='gform-field-label gform-field-label--type-inline'>Black \/ African American communities<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_35_22_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_22.2' type='checkbox'  value='Hispanic \/ Latino\/a\/x communities'  id='choice_35_22_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_35_22_2' id='label_35_22_2' class='gform-field-label gform-field-label--type-inline'>Hispanic \/ Latino\/a\/x communities<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_35_22_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_22.3' type='checkbox'  value='Asian American communities'  id='choice_35_22_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_35_22_3' id='label_35_22_3' class='gform-field-label gform-field-label--type-inline'>Asian American communities<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_35_22_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_22.4' type='checkbox'  value='Indigenous and Native communities'  id='choice_35_22_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_35_22_4' id='label_35_22_4' class='gform-field-label gform-field-label--type-inline'>Indigenous and Native communities<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_35_22_5'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_22.5' type='checkbox'  value='Middle Eastern \/ North African communities'  id='choice_35_22_5'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_35_22_5' id='label_35_22_5' class='gform-field-label gform-field-label--type-inline'>Middle Eastern \/ North African communities<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_35_22_6'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_22.6' type='checkbox'  value='Multiracial communities'  id='choice_35_22_6'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_35_22_6' id='label_35_22_6' class='gform-field-label gform-field-label--type-inline'>Multiracial communities<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_35_22_7'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_22.7' type='checkbox'  value='LGBTQIA+ individuals'  id='choice_35_22_7'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_35_22_7' id='label_35_22_7' class='gform-field-label gform-field-label--type-inline'>LGBTQIA+ individuals<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_35_22_8'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_22.8' type='checkbox'  value='Immigrant and refugee communities'  id='choice_35_22_8'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_35_22_8' id='label_35_22_8' class='gform-field-label gform-field-label--type-inline'>Immigrant and refugee communities<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_35_22_9'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_22.9' type='checkbox'  value='People with disabilities'  id='choice_35_22_9'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_35_22_9' id='label_35_22_9' class='gform-field-label gform-field-label--type-inline'>People with disabilities<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_35_22_11'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_22.11' type='checkbox'  value='Individuals experiencing socioeconomic barriers'  id='choice_35_22_11'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_35_22_11' id='label_35_22_11' class='gform-field-label gform-field-label--type-inline'>Individuals experiencing socioeconomic barriers<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_35_22_12'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_22.12' type='checkbox'  value='Rural residents'  id='choice_35_22_12'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_35_22_12' id='label_35_22_12' class='gform-field-label gform-field-label--type-inline'>Rural residents<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_35_22_13'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_22.13' type='checkbox'  value='Linguistically diverse communities'  id='choice_35_22_13'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_35_22_13' id='label_35_22_13' class='gform-field-label gform-field-label--type-inline'>Linguistically diverse communities<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_35_22_14'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_22.14' type='checkbox'  value='Older adults (50+)'  id='choice_35_22_14'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_35_22_14' id='label_35_22_14' class='gform-field-label gform-field-label--type-inline'>Older adults (50+)<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_35_22_15'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_22.15' type='checkbox'  value='Young adults (18\u201325)'  id='choice_35_22_15'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_35_22_15' id='label_35_22_15' class='gform-field-label gform-field-label--type-inline'>Young adults (18\u201325)<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_35_22_16'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_22.16' type='checkbox'  value='Youth (under 18)'  id='choice_35_22_16'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_35_22_16' id='label_35_22_16' class='gform-field-label gform-field-label--type-inline'>Youth (under 18)<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_35_22_17'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_22.17' type='checkbox'  value='General audience (not targeting any specific group)'  id='choice_35_22_17'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_35_22_17' id='label_35_22_17' class='gform-field-label gform-field-label--type-inline'>General audience (not targeting any specific group)<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_35_22_18'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_22.18' type='checkbox'  value='Other:'  id='choice_35_22_18'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_35_22_18' id='label_35_22_18' class='gform-field-label gform-field-label--type-inline'>Other:<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_35_23\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_35_23\" ><legend class='gfield_label gform-field-label gfield_label_before_complex' >What types of audience members do you expect to attend your event?  (Select all that apply.)<\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox' id='input_35_23'><div class='gchoice gchoice_35_23_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_23.1' type='checkbox'  value='Community members'  id='choice_35_23_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_35_23_1' id='label_35_23_1' class='gform-field-label gform-field-label--type-inline'>Community members<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_35_23_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_23.2' type='checkbox'  value='Parents \/ caregivers'  id='choice_35_23_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_35_23_2' id='label_35_23_2' class='gform-field-label gform-field-label--type-inline'>Parents \/ caregivers<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_35_23_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_23.3' type='checkbox'  value='Youth (under 18)'  id='choice_35_23_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_35_23_3' id='label_35_23_3' class='gform-field-label gform-field-label--type-inline'>Youth (under 18)<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_35_23_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_23.4' type='checkbox'  value='Young adults (18\u201325)'  id='choice_35_23_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_35_23_4' id='label_35_23_4' class='gform-field-label gform-field-label--type-inline'>Young adults (18\u201325)<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_35_23_5'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_23.5' type='checkbox'  value='Older adults (50+)'  id='choice_35_23_5'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_35_23_5' id='label_35_23_5' class='gform-field-label gform-field-label--type-inline'>Older adults (50+)<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_35_23_6'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_23.6' type='checkbox'  value='Faith-based community members'  id='choice_35_23_6'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_35_23_6' id='label_35_23_6' class='gform-field-label gform-field-label--type-inline'>Faith-based community members<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_35_23_7'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_23.7' type='checkbox'  value='Educators (K\u201312)'  id='choice_35_23_7'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_35_23_7' id='label_35_23_7' class='gform-field-label gform-field-label--type-inline'>Educators (K\u201312)<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_35_23_8'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_23.8' type='checkbox'  value='Higher education faculty\/staff'  id='choice_35_23_8'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_35_23_8' id='label_35_23_8' class='gform-field-label gform-field-label--type-inline'>Higher education faculty\/staff<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_35_23_9'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_23.9' type='checkbox'  value='Healthcare providers'  id='choice_35_23_9'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_35_23_9' id='label_35_23_9' class='gform-field-label gform-field-label--type-inline'>Healthcare providers<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_35_23_11'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_23.11' type='checkbox'  value='Mental health providers \/ social workers'  id='choice_35_23_11'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_35_23_11' id='label_35_23_11' class='gform-field-label gform-field-label--type-inline'>Mental health providers \/ social workers<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_35_23_12'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_23.12' type='checkbox'  value='Public health practitioners'  id='choice_35_23_12'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_35_23_12' id='label_35_23_12' class='gform-field-label gform-field-label--type-inline'>Public health practitioners<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_35_23_13'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_23.13' type='checkbox'  value='Nonprofit or community-based organization staff'  id='choice_35_23_13'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_35_23_13' id='label_35_23_13' class='gform-field-label gform-field-label--type-inline'>Nonprofit or community-based organization staff<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_35_23_14'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_23.14' type='checkbox'  value='Legislators \/ policymakers \/ government staff'  id='choice_35_23_14'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_35_23_14' id='label_35_23_14' class='gform-field-label gform-field-label--type-inline'>Legislators \/ policymakers \/ government staff<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_35_23_15'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_23.15' type='checkbox'  value='Business or corporate teams'  id='choice_35_23_15'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_35_23_15' id='label_35_23_15' class='gform-field-label gform-field-label--type-inline'>Business or corporate teams<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_35_23_16'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_23.16' type='checkbox'  value='Media \/ press'  id='choice_35_23_16'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_35_23_16' id='label_35_23_16' class='gform-field-label gform-field-label--type-inline'>Media \/ press<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_35_23_17'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_23.17' type='checkbox'  value='General public'  id='choice_35_23_17'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_35_23_17' id='label_35_23_17' class='gform-field-label gform-field-label--type-inline'>General public<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_35_23_18'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_23.18' type='checkbox'  value='Other:'  id='choice_35_23_18'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_35_23_18' id='label_35_23_18' class='gform-field-label gform-field-label--type-inline'>Other:<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_35_24\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_35_24\" ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Will your event offer any language interpretation or accessibility accommodations? (Select all that apply.)<\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox' id='input_35_24'><div class='gchoice gchoice_35_24_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_24.1' type='checkbox'  value='Spanish interpretation'  id='choice_35_24_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_35_24_1' id='label_35_24_1' class='gform-field-label gform-field-label--type-inline'>Spanish interpretation<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_35_24_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_24.2' type='checkbox'  value='ASL interpretation'  id='choice_35_24_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_35_24_2' id='label_35_24_2' class='gform-field-label gform-field-label--type-inline'>ASL interpretation<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_35_24_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_24.3' type='checkbox'  value='Closed captioning (auto or live)'  id='choice_35_24_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_35_24_3' id='label_35_24_3' class='gform-field-label gform-field-label--type-inline'>Closed captioning (auto or live)<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_35_24_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_24.4' type='checkbox'  value='Materials available in multiple languages'  id='choice_35_24_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_35_24_4' id='label_35_24_4' class='gform-field-label gform-field-label--type-inline'>Materials available in multiple languages<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_35_24_5'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_24.5' type='checkbox'  value='Disability accommodations (please describe)'  id='choice_35_24_5'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_35_24_5' id='label_35_24_5' class='gform-field-label gform-field-label--type-inline'>Disability accommodations (please describe)<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_35_24_6'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_24.6' type='checkbox'  value='Not at this time'  id='choice_35_24_6'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_35_24_6' id='label_35_24_6' class='gform-field-label gform-field-label--type-inline'>Not at this time<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_35_24_7'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_24.7' type='checkbox'  value='Not sure yet'  id='choice_35_24_7'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_35_24_7' id='label_35_24_7' class='gform-field-label gform-field-label--type-inline'>Not sure yet<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_35_24_8'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_24.8' type='checkbox'  value='Other'  id='choice_35_24_8'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_35_24_8' id='label_35_24_8' class='gform-field-label gform-field-label--type-inline'>Other<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_35_40\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_35_40\" ><h3 class=\"gsection_title\">Event Promotion<\/h3><\/div><div id=\"field_35_25\" class=\"gfield gfield--type-textarea gfield--input-type-textarea gfield--width-full field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_35_25\" ><label class='gfield_label gform-field-label' for='input_35_25'>If you plan to promote this event on social media, please list the platforms and handles you will use.<\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_25' id='input_35_25' class='textarea large'  aria-describedby=\"gfield_description_35_25\"    aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><div class='gfield_description' id='gfield_description_35_25'>(Examples: Instagram @MyOrg, Facebook @MyCommunityGroup, TikTok @MyEventName)\nIf you are not planning to use social media, please type \u201cN\/A.\u201d<\/div><\/div><div id=\"field_35_39\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_35_39\" ><h3 class=\"gsection_title\">Series or Multiple Events<\/h3><\/div><fieldset id=\"field_35_26\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_35_26\" ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Are you planning to host a single event or multiple events\/screenings?<\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox' id='input_35_26'><div class='gchoice gchoice_35_26_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_26.1' type='checkbox'  value='A single event'  id='choice_35_26_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_35_26_1' id='label_35_26_1' class='gform-field-label gform-field-label--type-inline'>A single event<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_35_26_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_26.2' type='checkbox'  value='Multiple events'  id='choice_35_26_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_35_26_2' id='label_35_26_2' class='gform-field-label gform-field-label--type-inline'>Multiple events<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_35_26_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_26.3' type='checkbox'  value='I\u2019m not sure yet'  id='choice_35_26_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_35_26_3' id='label_35_26_3' class='gform-field-label gform-field-label--type-inline'>I\u2019m not sure yet<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_35_27\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_35_27\" ><label class='gfield_label gform-field-label' for='input_35_27'>If yes, how many and your anticipated for future events?<\/label><div class='ginput_container ginput_container_text'><input name='input_27' id='input_35_27' type='text' value='' class='large'  aria-describedby=\"gfield_description_35_27\"    aria-invalid=\"false\"   \/> <\/div><div class='gfield_description' id='gfield_description_35_27'>If unknown, please type \"N\/A.\"<\/div><\/div><div id=\"field_35_38\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_35_38\" ><h3 class=\"gsection_title\">Measuring Impact<\/h3><\/div><div id=\"field_35_28\" class=\"gfield gfield--type-textarea gfield--input-type-textarea gfield--width-full field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_35_28\" ><label class='gfield_label gform-field-label' for='input_35_28'>In your own words, what impact do you hope your event will have in advancing menopause equity?<\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_28' id='input_35_28' class='textarea medium'  aria-describedby=\"gfield_description_35_28\"    aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><div class='gfield_description' id='gfield_description_35_28'>(Examples: increasing awareness, reducing stigma, reaching new communities, changing knowledge or attitudes, supporting conversations among families, etc.)  <\/div><\/div><fieldset id=\"field_35_29\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_35_29\" ><legend class='gfield_label gform-field-label gfield_label_before_complex' >How do you plan to measure the impact of your event? (Select all that apply)<\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox' id='input_35_29'><div class='gchoice gchoice_35_29_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_29.1' type='checkbox'  value='Collecting participant feedback through a survey or evaluation form'  id='choice_35_29_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_35_29_1' id='label_35_29_1' class='gform-field-label gform-field-label--type-inline'>Collecting participant feedback through a survey or evaluation form<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_35_29_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_29.2' type='checkbox'  value='Tracking the number of attendees'  id='choice_35_29_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_35_29_2' id='label_35_29_2' class='gform-field-label gform-field-label--type-inline'>Tracking the number of attendees<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_35_29_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_29.3' type='checkbox'  value='Tracking who you\u2019re reaching (e.g., demographics, zip codes, target populations)'  id='choice_35_29_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_35_29_3' id='label_35_29_3' class='gform-field-label gform-field-label--type-inline'>Tracking who you\u2019re reaching (e.g., demographics, zip codes, target populations)<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_35_29_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_29.4' type='checkbox'  value='Gathering testimonials or stories from participants'  id='choice_35_29_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_35_29_4' id='label_35_29_4' class='gform-field-label gform-field-label--type-inline'>Gathering testimonials or stories from participants<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_35_29_5'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_29.5' type='checkbox'  value='Pre- and post-event knowledge checks or polls'  id='choice_35_29_5'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_35_29_5' id='label_35_29_5' class='gform-field-label gform-field-label--type-inline'>Pre- and post-event knowledge checks or polls<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_35_29_6'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_29.6' type='checkbox'  value='Social media engagement (e.g., hashtag use, shares, comments)'  id='choice_35_29_6'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_35_29_6' id='label_35_29_6' class='gform-field-label gform-field-label--type-inline'>Social media engagement (e.g., hashtag use, shares, comments)<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_35_29_7'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_29.7' type='checkbox'  value='Photos or videos to tell the story of your event'  id='choice_35_29_7'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_35_29_7' id='label_35_29_7' class='gform-field-label gform-field-label--type-inline'>Photos or videos to tell the story of your event<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_35_29_8'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_29.8' type='checkbox'  value='Observations from facilitators or staff'  id='choice_35_29_8'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_35_29_8' id='label_35_29_8' class='gform-field-label gform-field-label--type-inline'>Observations from facilitators or staff<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_35_29_9'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_29.9' type='checkbox'  value='Follow-up engagement or referrals after the event'  id='choice_35_29_9'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_35_29_9' id='label_35_29_9' class='gform-field-label gform-field-label--type-inline'>Follow-up engagement or referrals after the event<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_35_29_11'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_29.11' type='checkbox'  value='Unsure. I might need support with an evaluation plan'  id='choice_35_29_11'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_35_29_11' id='label_35_29_11' class='gform-field-label gform-field-label--type-inline'>Unsure. I might need support with an evaluation plan<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_35_29_12'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_29.12' type='checkbox'  value='Other:'  id='choice_35_29_12'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_35_29_12' id='label_35_29_12' class='gform-field-label gform-field-label--type-inline'>Other:<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_35_37\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_35_37\" ><h3 class=\"gsection_title\">Support Requested from UConn HDI<\/h3><\/div><fieldset id=\"field_35_30\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_35_30\" ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Which specific HDI resources are you planning to request for this event?  (Select all that apply. A post-event feedback form will be provided automatically.)<\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox' id='input_35_30'><div class='gchoice gchoice_35_30_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_30.1' type='checkbox'  value='Access to The M Factor documentary'  id='choice_35_30_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_35_30_1' id='label_35_30_1' class='gform-field-label gform-field-label--type-inline'>Access to The M Factor documentary<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_35_30_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_30.2' type='checkbox'  value='Thought partnership \/ event planning consultation'  id='choice_35_30_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_35_30_2' id='label_35_30_2' class='gform-field-label gform-field-label--type-inline'>Thought partnership \/ event planning consultation<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_35_30_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_30.3' type='checkbox'  value='Suggestions or referrals for speakers'  id='choice_35_30_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_35_30_3' id='label_35_30_3' class='gform-field-label gform-field-label--type-inline'>Suggestions or referrals for speakers<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_35_30_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_30.4' type='checkbox'  value='Information on Continuing Education Credits'  id='choice_35_30_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_35_30_4' id='label_35_30_4' class='gform-field-label gform-field-label--type-inline'>Information on Continuing Education Credits<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_35_30_5'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_30.5' type='checkbox'  value='Event promotion (HDI social media, website, or email)'  id='choice_35_30_5'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_35_30_5' id='label_35_30_5' class='gform-field-label gform-field-label--type-inline'>Event promotion (HDI social media, website, or email)<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_35_30_6'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_30.6' type='checkbox'  value='HDI tabling at in-person or hybrid events (if capacity allows)'  id='choice_35_30_6'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_35_30_6' id='label_35_30_6' class='gform-field-label gform-field-label--type-inline'>HDI tabling at in-person or hybrid events (if capacity allows)<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_35_30_7'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_30.7' type='checkbox'  value='HDI staff attending the event (if capacity allows)'  id='choice_35_30_7'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_35_30_7' id='label_35_30_7' class='gform-field-label gform-field-label--type-inline'>HDI staff attending the event (if capacity allows)<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_35_30_8'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_30.8' type='checkbox'  value='Help with registration, sign-in sheets, or evaluation tools'  id='choice_35_30_8'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_35_30_8' id='label_35_30_8' class='gform-field-label gform-field-label--type-inline'>Help with registration, sign-in sheets, or evaluation tools<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_35_30_9'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_30.9' type='checkbox'  value='We do not need anything from HDI'  id='choice_35_30_9'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_35_30_9' id='label_35_30_9' class='gform-field-label gform-field-label--type-inline'>We do not need anything from HDI<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_35_30_11'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_30.11' type='checkbox'  value='Other:'  id='choice_35_30_11'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_35_30_11' id='label_35_30_11' class='gform-field-label gform-field-label--type-inline'>Other:<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_35_36\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_35_36\" ><h3 class=\"gsection_title\">Branding &amp; Partnership Guidelines<\/h3><\/div><div id=\"field_35_31\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_35_31\" ><p><em>Please review the guidelines below to ensure consistent and accurate representation of HDI and our statewide partners.\n<\/em><\/p>\n\n<p>HDI\u2019s statewide Menopause Equity Collective partners include:<\/p>\n<ul>\n \t<li><span>The Commission on Women, Children, Seniors, Equity and Opportunity (CWCSOEO)<\/span><\/li>\n \t<li>The Farmington Valley (CT) Chapter of The Links, Incorporated<\/li>\n \t<li>The Aurora Foundation for Women and Girls<\/li>\n \t<li>The UConn Institute for Collaboration on Health, Intervention, and Policy<\/li>\n \t<li>UConn Health Center on Aging<\/li>\n \t<li>YWCA Hartford Region<\/li>\n \t<li>Change the Narrative Solutions<\/li>\n \t<li>Indelible Impressions Consulting, Inc.<\/li>\n \t<li>Unashamed, Inc.<\/li>\n<\/ul>\n<p>As a condition of this partnership and support, we ask that:<\/p>\n\n<ul>\n \t<li>HDI is listed as a partner on all promotional materials and event signage.<\/li>\n \t<li><span>HDI and statewide partners are tagged on social media posts related to your event (if applicable).<\/span><\/li>\n \t<li><span>All promotional materials and event signage are shared with HDI for review before public distribution.<\/span><\/li>\n \t<li><span>HDI\u2019s logo is included on all promotional materials.<\/span><\/li>\n \t<li><span>HDI and statewide partner organizations have the option to table at in-person or hybrid events, if capacity allows.<\/span><\/li>\n \t<li><span>Partner organizations may receive branded swag or health education materials to distribute.<\/span><\/li>\n \t<li><span>HDI and statewide partner organizations may help promote your event, as needed.<\/span><\/li>\n<\/ul><\/div><fieldset id=\"field_35_33\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_35_33\" ><legend class='gfield_label gform-field-label' >Please confirm that you have reviewed and understand the branding guidelines.<\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_35_33'>\n\t\t\t<div class='gchoice gchoice_35_33_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_33' type='radio' value='Yes, I agree to follow the branding guidelines'  id='choice_35_33_0' onchange='gformToggleRadioOther( this )' aria-describedby=\"gfield_description_35_33\"   \/>\n\t\t\t\t\t<label for='choice_35_33_0' id='label_35_33_0' class='gform-field-label gform-field-label--type-inline'>Yes, I agree to follow the branding guidelines<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_35_33_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_33' type='radio' value='I have questions and would like to discuss them with the HDI team'  id='choice_35_33_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_35_33_1' id='label_35_33_1' class='gform-field-label gform-field-label--type-inline'>I have questions and would like to discuss them with the HDI team<\/label>\n\t\t\t<\/div><\/div><\/div><div class='gfield_description' id='gfield_description_35_33'>If you have questions or concerns about these guidelines, please select the second option and a member of our team will follow up.<\/div><\/fieldset><div id=\"field_35_35\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_35_35\" ><h3 class=\"gsection_title\">Questions<\/h3><\/div><div id=\"field_35_34\" class=\"gfield gfield--type-textarea gfield--input-type-textarea gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_35_34\" ><label class='gfield_label gform-field-label' for='input_35_34'>Do you have any questions, or is there anything else you\u2019d like us to know so we can better support your 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