Media Release

Congratulations on receiving a grant from the ERAP Statewide Housing Stability Program, managed by New Mexico Community Trust in partnership and accordance with guidelines set forth by the U.S. Department of the Treasury and the New Mexico State Department of Finance and Administration.

This is a significant grant program for the state of New Mexico, and we would like to share the good news with the community. As a recipient, please take a moment to fill out the New Mexico Community Trust media release.

If you are having issues with the electronic form, please download the PDF and submit to Germaine Mitchell at germaine@nmctrust.org.

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Name

First Name

Last Name

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Date

YYYY

Media Release

This release allows for us to talk about your work in external communications, solicit quotes for your work, and utilize any imagery of your work for publication. I grant permission to New Mexico Community Trust and the ERAP Statewide Housing Stability Program to use my image (photographs and/or video) and/or story for publication/media.

Media Release

I grant permission to New Mexico Community Trust and the ERAP Statewide Housing Stability Program to use my image (photographs and/or video) and/or story for use in Media publications including:

Videos

Email Marketing

Brochures

Newsletters

Magainzines

General Publications

Websites/Affilaites

Permission (Please initial the paragraph below which is applicable to your present situation):

I am 20 years of age or older and I am competent to contract in my own name. I have read this release before signing below, and I fully understand the contents, meaning and impact of this release. I understand that I am free to address any specific questions regarding this release by submitting those questions in writing prior to signing, and I agree that my failure to do so will be interpreted as a free and knowledgeable acceptance of the terms of this release.

Permission (Please initial the paragraph below which is applicable to your present situation):

I am the parent or legal guardian of the below named child. I have read this release before signing below, and I fully understand the contents, meaning and impact of this release. I understand that I am free to address any specific questions regarding this release by submitting those questions in writing prior to signing, and I agree that my failure to do so will be interpreted as a free and knowledgeable acceptance of the terms of this release.

Signature

I have read and reviewed the above information and approve.

Signature of Parent or Legal Guardian: (if under 20 years of age)