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Project Request Form

Please fill out the following Project Request Form as accurately and as completely as possible. This will allow Harvest Media to really understand the goals and objectives of your ministry and project request.

Our desire is to provide the best Media Services that we can, based upon the information you provide. We then use the resources God has provided our ministry through a grant, to help you meet your ministry goals and objectives. In doing so, both ministries may glorify God’s Kingdom and be good stewards of the gifts He has provided.

ALL information gathered by this questionnaire is confidential and will only be used internally by Harvest Media Ministry for your project.

If you have any questions concerning this questionnaire please contact Evan Davis @ 520-790-1222. I would be delighted to answer or explain any questions you may have.

Please enter your first and last name.
Please enter the name of the organization you are requesting our services for.
Please enter only the full Street or PO Box information in this box.
Please enter any apartment numbers or suite numbers in this box.
City associated with your mailing address.
State associated with this mailing address.
Zip code or Postal code associated with this mailing address.
Please provide us with a valid email address that we can communicate with you through. Your email information will be kept strickly confidential.
Please provide us with a valid daytime phone number. Ex. xxx-xxx-xxxx
Please briefly describe the nature of you organization's ministry.
Select each type of communication tool that you are presently using or have used in the past.
Please describe the types of communication tools you are currently using. (i.e. newsletters, video, email, slide-shows, etc.)
Please briefly evaluate the effectiveness or success of the communication tools you are currently using. Are you satisfied with the response or results that you have received?
Describe the type(s) of communication tool(s) you would like us to produce or develop for you.
Do you already have a concept in mind or the content or rough script prepared? If so, briefly describe it.
Please describe the target audience or recipients for the communication tool(s) you would like us to produce or develop. If a website is involved in this request you will also need to fill out a web development questionaire also.
What is the desired response? What action do you hope they will take upon viewing or receiving the communication tool(s)?
Do you have a deadline? Is there a special event (i.e., fundraising banquet, promotional campaign or deputation) that we would be preparing it for? If so, please describe the nature of the deadline and give us the date(s).
Will you be solely responsible for the decisions made throughout the process of production (script approval, final changes, etc.) or will there be others ( a committee or director of the organization, etc,)?
Do you and/or other individuals that will be involved in the production process have any experience with the creation of the types of communication tools you desire? If so, please describe them here.
If you desire a video, will it be necessary to travel to locations outside of Arizona or the U.S. to collect video footage? If so, where?
Security Code *
Please enter the four letter code you see into the input box.