2023 CHINA Town Hall - Partner Application

Please complete this form with whatever information you currently have available. You will have an opportunity to confirm/alter your program details later, when you complete our Partner Information Form. In the meantime, should you have any questions, please email cth@ncuscr.org.

For the information below, we ask that you provide the full name of your institution. Throughout this form, please refrain from using nicknames or acronyms. Should you have any questions, please email us at cth@ncuscr.org.

Host Organization Information

Host organization/institution name:

Mailing address:

City:

Country/Territory:

State:

Province:

Postal code:

Primary Contact Information

Preferred prefix:

First name:

Last name:

Title:

Work email address:

Secondary email address:

Office phone number:

Cell phone number:

Preferred number to use:

Secondary Contact Information (Optional)

Preferred prefix:

First name:

Last name:

Title:

Primary email address:

Secondary email address:

Primary phone number:

Type:

Secondary phone number:

Type:

Local Program Facilitation

Will your organization host a local town hall discussion in conjunction with this year's CHINA Town Hall, typically held immediately before or after our October 11 national webcast?

YesMaybeNo

In the spirit of keeping these discussions centered around the U.S.-China relationship and your community, we encourage your organization to seek out an expert within your own community to act as your local town hall speaker.

If you are organizing a virtual town hall this year and would like the National Committee's help in identifying a speaker for your local discussion, we are happy to work with you. PLEASE NOTE: In 2023, we are unable to make any matches for in-person town halls.

Please indicate below whether you intend to identify your own speaker, would like National Committee's assistance, or are currently unsure. Your response is non-binding:

Please briefly explain why you are unsure at this time:

Please note: The National Committee's will be unable to assist in identifying a speaker for your local town hall after September 22. Our partners are matched with speakers on a first-come, first-serve basis. Those requesting the National Committee's help in identifying a speaker must be hosting a virtual program.

Which of the following reasons best describes why you are unsure at this time?

to select multiple options, hold down the ctrl/command key

If other, please describe:

At this point, do you know who your town hall speaker will be?

Speaker's full name:

Speaker's title and affiliation:

Which of the following best describes why your organization will not be hosting a town hall program this year?

If other, please describe:

If your organization will not be hosting a town hall, would you be interested in serving as a speaker for another organizations town hall discussion?

We are exploring options for including live video from our partner venues during the national broadcast via Zoom. Please note that organizations without a Zoom platform would be able to watch the livestream as in year's past.

Does your organization have a Zoom account that would allow you to participate?

YesNo

Previous Involvement

Have you previously hosted a CHINA Town Hall?

How did you find out about CHINA Town Hall?

If known, please list the organization or participant's affiliated organization that recommended CTH to you:

Please specify which social media platform(s):

to select multiple options, hold down the ctrl/command key

If other, please specify:

What was the last year you hosted?

How many times have you hosted?

What was the approximate audience size in the most recent year you hosted?

Prospective Program Details

Please answer the following questions to the best of your ability in order to help us match you with a speaker for your town hall.

Please answer the following questions to the best of your ability. This information is collected for our internal records. You will have an opportunity to confirm your final program details on the Partner Information Form to be distributed in the fall.

How many people do you estimate will attend the program?

How would you describe the composition of your prospective audience?

to select multiple options, hold down the ctrl/command key

If other, please specify:

Please select up to five topics of interest to your community:

to select multiple options, hold down the ctrl/command key

If other, please specify:

Of the above topic areas, please select one you think is mostly likely to be the focus of your town hall:

If other, please specify:

Please select up to five topics of interest to your community that may be a suitable topic for your town hall discussion:

to select multiple options, hold down the ctrl/command key

If other, please specify:

Of the above topic areas, please select one you would you most like to convene a town hall on:

If other, please specify:

How informed is your audience on the topic you indicated?

How much exposure has your audience had to China?

How informed is your audience on the current status of the U.S.-China relationship?

In addition to the information above, you may use the space below to share any further details regarding the goals for your town hall program you feel might be relevant to our matching process:

Promotion and Event Materials

How do you intend to promote your event?

to select multiple options, hold down the ctrl/command key

Please specify which social media platform(s) you will use: (to select multiple options, hold down the ctrl/command key)

If other, please specify:

LinkedIn handle:

Twitter/X handle:

Facebook handle:

Instagram handle:

Website URL:

Contact Information