Distribute your own copies of My Safety Kit

My Safety Kit is a resource for people thinking about their relationships available on: www.insightexchange.net.
 
For organisations/institutes/community groups, it might be useful to provide electronic or print copies of My Safety Kit including your logo as a distribution sponsor.

The application form seeks your acknowledgement and agreement to the terms and conditions. 

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

Thank you.

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* 1. I understand the following terms apply:

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* 2. Full Name

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

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* 4. My role title is:

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* 5. My email address is:

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

JPEG, JPG, PNG file types only.
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* 7. 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.
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* 8. We value learning about how these ideas and resources travel and what meaning they hold to organisations, institutes and communities. Can you please outline where you hope to distribute My Safety Kit and how many people you hope to reach?

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* 9. We value understanding where and how you learned of My Safety Kit. Can you tell us a little about how you were first introduced to a copy?

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* 10. I give consent for the DVSM Insight Exchange Team to keep in touch with me to share any new resources and ideas made available through Insight Exchange initiatives.

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