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* 1. Date of Submission

Date

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* 2. Name:

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* 3. Company (if applicable)

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* 4. Contact email:

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* 5. If you / company are different than the focus of this story, please indicate the person / company information:

Focus person / company of the story (only if different from above)

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* 6. If the focus of the story if different than the person submitting, what is the connection to the story?

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* 7. Is assistance needed to develop the story for submission?

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* 8. Check all methods you would like the  story shared:

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* 9. Stage of employment journey:

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* 10. The identifying story and any additional items being submitted may be distributed at the discretion of Networks for Training and Development, Inc. (Networks) to include, but not limited to:  National Disability Awareness Month Marketing (October), Phila On The Job website, Phila On The Job social media, and Networks for Training and Development, Inc. Employment First Marketing.

Submission of this story acknowledges that consent from appropriate parties has been given to share the story and any additional items.

Do you agree?

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* 11. Is a picture being attached to the submission?

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* 12. Attached photo:

GIF, JPEG, JPG, PNG file types only.
Choose File

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* 13. Is a video to be attached to the initial submission? (Note: if yes, Networks staff will contact you for the video file)

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* 14. If the person is an entrepreneur, are they interested in being a spotlighted business?

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* 15. If the person / business has social media and would like to  be tagged in any posts, please share the account names here:

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* 16. STORY DETAILS:

- WHO, WHAT, WHEN, WHERE, WHY
- Keep focus on the person
- Employment First values:  Real Work, Real Pay

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* 17. Networks for Training and Development, Inc. (Networks) reserves the right to edit the content of the story to align with Employment First values.  IF there are questions or needed follow up, Networks will contact the person whose email is listed above.  If edits are made, Networks will reconnect to discuss the edits prior to publishing the story.

If you have any further questions or comments, please share them here:

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