Partnership Request Form

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* 1. Organization Name:

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* 2. Briefly describe your organization.

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* 3. In what ways does your organization support marginalized and/or underrepresented groups?

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* 4. How do you believe a partnership with Penguin Random House would amplify your organization?

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* 5. How would your organization support PRH's goal of creating a workforce that reflects the diversity of our readers and the world we live in?

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* 6. Please provide your contact information:

Name *

City/Town *

State/Province *

ZIP/Postal Code

Email Address *