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Siksika Health Comms Request Form
November 12, 2021
Comms Request Form
Name & Email Contact
(Required)
Preferred Communication Type - Check All That Apply
(Required)
Please note: preferred selection(s) is not guaranteed.
Printed Poster, Postcard, or Brochure
Post on the Siksika Health Website
Siksika Health Online Calendar Post
Online Form
Social Media Post
Written Document
Digital Billboard Sign
Indoor Signage
Outdoor Signage
Siksika Health Newsletter Submission
Radio Spot
Business Cards
Staff ID Cards
Topic/Subject Matter
(Required)
Information to be Communicated
(Required)
Please include as much detail as possible, at minimum: who, what, where, when, why. This will help our team understand context, and communicate accurate information.
Uploading file(s) as part of this comms request? If so, please upload below.
(Required)
Yes
No
File
Max. file size: 2 GB.
Intended Audience (who is this information for?) - Check All That Apply
(Required)
Internal - Siksika Health Staff
External - Siksika Nation Community & Public
Scope
(Required)
How large/significant is this request? Is it one-off, or part of a larger campaign? For how long will it need to be communicated?
One Time
Recurring (i.e. weekly events)
Campaign/Event Promotion (ongoing until event date/campaign end date)
Deadline: When Do You Need This By?
(Required)
Please note that comms requests require a minimum 48hrs (2 business days) turnaround allowance. Depending on scope of request, more time may be required.
MM slash DD slash YYYY
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