Application and terms and conditions

Are you thinking about introducing materials and messages about domestic and family violence into your organisation/institution/community?

Insight Exchange materials  are freely available to share with anyone any time.

For organisations/institutes/community groups, it might be useful to provide electronic or print copies of Follow My Lead or Follow My Lead Aotearoa and/or My Safety Kit and/or My Dignity - My body is mine including your logo on the back cover as a distribution sponsor (at no cost).

The application form seeks your acknowledgement and agreement to the terms and conditions for becoming a distribution sponsor. 

If you have questions that are not answered in the application form, please use the contact us page.

Thank you.

Question Title

* 1. I understand and agree to the following terms:

In an effort to support social, service and systemic responses to domestic and family violence, Insight Exchange Foundation:

  • is covering the cost in-kind to produce the distribution sponsor copy for us which includes placement of our logo on the back cover as a distribution sponsor
  • will provide us with a print ready file and we will host an eCopy on www.insightexchange.net
I understand that costs for any print run, distribution and related communication remain the cost of our organisation at our own lead.

I understand that Insight Exchange materials cannot be used for commercial purposes or sold. Under no circumstances can a purchase fee be applied to Insight Exchange resources as these have been designed to be free for any and all readers to remove cost barriers.

Disclaimer: Whilst great care has been taken to do no harm and to improve responses to people experiencing domestic and family violence, the Insight Exchange Foundation and the contributing organisations assume no responsibility for how the information in Follow My Lead, My Safety Kit or My Dignity is used.

Question Title

* 2. I am applying to be a distribution sponsor of:

Question Title

* 3. We value understanding where and how you learned of Follow My Lead, My Safety Kit, and/or My Dignity. How you were first introduced to a copy?

Question Title

* 4. We value learning about how these ideas and resources travel - please outline where you hope to distribute Follow My Lead and how many people you hope to reach?  (type n/a if not applying about Follow My Lead)

Question Title

* 5. We value learning about how these ideas and resources travel - please outline where you hope to distribute My Safety Kit and how many people you hope to reach? (type n/a if not applying about My Safety Kit)

Question Title

* 6. We value learning about how these ideas and resources travel - please outline where you hope to distribute My Dignity - My body is mine and how many people you hope to reach? (type n/a if not applying about My Dignity)

Question Title

* 7. Full Name

Question Title

* 8. The organisation / institute / community group I am applying on behalf of is:

Question Title

* 9. My role title is:

Question Title

* 10. My email address is:

Question Title

* 11. I have permission to use the logo/s

Question Title

* 12. Please upload your organisation's/entity's logo in PNG or JPG, JPEG format

JPEG, JPG, PNG file types only.
Choose File

Question Title

* 13. If your application includes asking for a second logo to be added please upload this logo in PNG or JP, JPEG format. You must have consent to use this logo for this purpose before uploading.

JPEG, JPG, PNG file types only.
Choose File

Question Title

* 14. If your application includes asking for a third logo to be added please upload this logo in PNG or JP, JPEG format. You must have consent to use this logo for this purpose before uploading.

PNG, JPG, JPEG file types only.
Choose File

Question Title

* 15. I give consent for the Insight Exchange Team to get in contact with me to ask about our experience in using Follow My Lead and/or My Safety Kit and/or My Dignity.

Question Title

* 16. I give consent for the Insight Exchange Team to send me the Insight Exchange Updates

0 of 16 answered
 

T