Proclamation Survey

Takes less than 3 minutes to complete

Help us secure proclamations from all 50 states for National Infertility Awareness Week!

A proclamation is an official announcement issued by a Governor, Mayor, or City Council member to recognize a specific time period (day, week, or month) and raise awareness about important causes—like National Infertility Awareness Week in April.

Once your proclamation is approved, you’ll receive an official document that RESOLVE will proudly share on our website, infertilityawareness.org, to inspire and remind others that they are not alone!

1.First Name
(Your name helps us recognize your efforts, but you may leave it blank to remain anonymous.)

2.Last Name

3.Email
(Your email lets us follow up on your submission. It won’t subscribe you to RESOLVE emails.)

4.Phone Number
(Your phone number is only used for follow-ups and won’t be shared.)

5.Town/City of proclamation

6.State

7.Have you received approval of your proclamation?

Yes, my proclamation has been approved.

No, my proclamation request has not been approved yet.
(If you answered "no," please return to this form and complete it only after you have received confirmed approval. Thank you!)

8.Upload your proclamation here

No file chosen

9.Yes, I would like to receive email communications from RESOLVE: The National Infertility Association.

Yes