2. Where is the institution located (city, state) *
Your answer
3. What is the website of the institution
Your answer
4. Name and title of individual authorized to sign this pledge on behalf of the organization - usually that would be a CEO or Executive Director, or someone else in leadership *
Your answer
5. Email of the individual authorized to sign this pledge on behalf of the organization. They will receive a confirmation email about the Organization's pledge. *
Your answer
5. What is the name (and title, if applicable) of the person filling out this form - if you are not the person authorized to sign?
Your answer
6. What is the email address of the person filling out this form - if you are not the CEO?
Your answer
7. Which of these is true about you, the person filling out this form? *
Required
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