Media Request Form

Is there an event, program or spotlight you'd like Portage DD to share? Please complete the following form:

Name

First Name

Last Name

Who Are You?

You are a:

Portage DD Staff Member

Direct Support Professional (Provider)

Social Services Agency / Non Profit

Community Member

Email

Phone

(###)

###

####

Event Link

If this is an event, please paste a link to the event posting: (Facebook, website, etc.)

Social Media Link

If this is a post on social media, please copy and paste the post link:

Additional Information

If this is an informational post, please paste the information below:

PLEASE NOTE: In order to maintain compliance with ADA standards and assistive technology, Portage DD will not share images with information (ex: flyers) unless there is information attached in text form (like a Facebook post or web page).

If you need to submit additional materials, like photos or a PDF, please first complete this form and then send an email to timt@portagedd.org.