Hispanic Scholarship Fund - Their tomorrow depends on your words today

Thank you for your interest in spreading the word about the Your Words Today parental engagement campaign developed by the Hispanic Scholarship Fund and the Ad Council.

We will be happy to send you our Parental Resource DVDs, as well as bilingual flyers that can be distributed at events focused on Latino parents with information on how they can get their own free copy of this resource.

Please tell us more about your organization and the work you do by completing the form below.

* Required

Organization Name *

Organization Type *

Contact First Name *

Contact Last Name *

Department

Contact Title *

Street * - Do not enter a P.O.Box address

City *

State *

Zip Code *

Email Address *

We respect your privacy. If you have any questions, please read our privacy policy.

Phone *

Please enter a phone number where we can reach you in case there are questions about your order.

Delivery Contact Name (First and Last Name) *

Is your Street address the same as your Delivery address? *

Yes

How many students does your organization serve? *

What percentage of those students is Latino? *

How many families does your organization serve? *

Does your organization offer specific college going programs that serve Latino families and children? *

Yes

How many DVDs** would you need to distribute to families over the next three months?
** While supplies last.

For orders over 200 DVDs, please contact Karina Barrionuevo at kbarrionuevo@hsf.net, thank you.

What type of event (s) are you planning to use this DVD for? * (For example: community fair, college night, parent meeting, parent training, etc.)

Does your organization have a communication that reaches your constituency? (For example: newsletter, magazine, e-mail, etc.)

Yes

Thank you for completing this form.