Pre-Reporting Paperwork

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  • This form is adaptive. As you work through it, it will present different options depending on your answers. For example, you can identify the name of the organization that should receive the funds for this project.
  • All fields are required, except where noted.
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FAQs
  • The form must be completed by each journalist grantee (reporters and photographers) working on the project.
  • Payment information for an organization, company, or newsroom can be collected through this form in the Payments for this Reporting Project section.
For the first payment to be scheduled, all of the following must be submitted.

  1. Pre-Reporting Paperwork (this form)
  2. Flight confirmation (if applicable)
  3. Website Materials
Campus Consortium reporting fellows, please contact Libby Moeller at lmoeller@pulitzercenter.org with any questions.












Please include your primary address where someone is always able to reach you. 








Please include a Mailing address where you will be able to receive mail for the next year. 








Ethics and Standards Policy and Safeguarding Policy

Thoroughly read the Pulitzer Center on Crisis Reporting Ethics and Standards Policy and Safegaurding Policy (click on links).

Then, in the text box below, type your full name, signifying that you agree to the following statement:


The Pulitzer Center’s Ethics and Standards Policy, available online on the Pulitzer Center website, describes important information regarding the Pulitzer Center’s policies on ethics, sources and funding. By signing this document, the grantee acknowledges that he or she will adhere to the principles and guidelines listed in the document.

Since the principles and information described are necessarily subject to change, I acknowledge that revisions to the Ethics and Standards policy may occur. All such changes will be communicated through official notices. I understand that revised information may supersede, modify or eliminate existing principles. Only the CEO/President has the ability to adopt any revisions to the policy.

I confirm that I have read the Pulitzer Center’s Ethics and Standards Policy, and I understand that it is my responsibility to read and comply with the policy and all revisions made to it.

Release and Indemnification Agreement
As a grantee of the Pulitzer Center on Crisis Reporting I  do hereby, along with my administrators, executors, heirs, and assigns, release and forever discharge the Pulitzer Center on Crisis Reporting and the trustees, officers, agents and employees of the Pulitzer Center on Crisis Reporting including individual members from any claims, demands, actions, and causes of action of every name and nature I now have or may ever have arising out of my work in relation to the funding received, including domestic and international travel.
 
I understand that the Pulitzer Center on Crisis Reporting give no assurance or warranties whatsoever as to the safety of grantees.
 
I further acknowledge that I am aware of the risks to me of injury, property damage or loss, or even death entailed in my assignment.  I do fully and completely assume all risks solely to myself, and accept full responsibility for my individual physical fitness to participate in the assignment.  I, along with my administrators, executors, heirs, and assigns, further agree to indemnify and hold the Pulitzer Center on Crisis Reporting and the trustees, officers, agents and employees of the Pulitzer Center on Crisis Reporting including individual members, harmless from all expenses, losses, claims, causes of action or damages arising out of my participation in this assignment and related domestic and international travel including all attorney’s fees and court costs arising from the same.
Payments for this Reporting Project
The Pulitzer Center sends the funds for a reporting project to one person or to one organization/newsroom. Please designate who should receive the funds below. We will schedule the payments accordingly.

After two weeks of all paperwork forms being received, Pulitzer Center staff will then reach out by email through Bill.com or Trolley, to request the necessary payment information. These emails will usually go out days before the 15th or 30th of each month.






EX: AP should be Associated Press
Please indicate who the payment contact is below. Using the contact information you provide, we will send them an email inviting them into our bill.com/Trolley payment platform. This contact should be able to enter payment information and tax documents, such as a signed W-9 or W-8BEN-E, into our payment platform. Payment notifications will also be sent to them. Correctly identifying the payment contact here will help avoid a payment delay.







If you are a Campus Consortium Reporting Fellow email Libby Moeller at lmoeller@pulitzercenter.org Include "FLIGHT" in the subject line. In the body of the email, clearly state your dates in the field. If your plans change, you must notify us immediately.


Important Note: Due to the COVID-19 pandemic, the Pulitzer Center's ability to purchase insurance coverage may be limited.


If you traveling outside of your home country, the Pulitzer Center provides limited medical and related insurance, with a $1,000 deductible. If you wish to have additional coverage, then it is your responsibility. Our policy includes a $1,000 deductible and $100,000 additional AD&D benefit option. Once your insurance coverage is issued, it is very important to communicate any changes in travel dates to avoid unnecessary premium charges or loss of coverage.


If you would like travel medical insurance, please submit your information here.


The Pulitzer Center often sends grantees to schools and universities to discuss their reporting. The languages listed below are the languages most likely to be used in our education programs.

Please select the languages you are comfortable presenting in.
Hold down the Control (PC) or Command (Mac) key to select multiple countries.
Emergency Information
Please provide the personal information requested in this form so that we have it available in the event of an emergency. Please provide answers to the proof of life questions, as you may find it useful in case anything untoward happens during your reporting. 






If unknown please write N/A















As a safety measure, journalists should have a safe word to signal others.

Proof of life questions and answers - These are questions that only you or your close family or friends would be able to answer. Please include answers.






Emergency Information
Please provide the personal information requested in this form so that we have it available in the event of an emergency. Please provide answers to the proof of life questions, as you may find it useful in case anything untoward happens during your reporting. 






If unknown please write N/A















As a safety measure, journalists should have a safe word to signal others.

Proof of life questions and answers - These are questions that only you or your close family or friends would be able to answer. Please include answers.






Demographic Information
Please take our demographic survey here: https://pulitzercenter.tfaforms.net/4851490 

Your participation helps us better understand our community and allows to hold ourselves accountable to the commitments in our statement on diversity, equity, and inclusion. Any data published collected from this survey will appear in aggregate and without any identifying information. Should you not want to answer some questions, a "Prefer not to answer" option is provided throughout..

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