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ISLAND OF HAWAIʻI TRAVEL ASSISTANCE QUESTIONNAIRE

Aloha!

Thank you for your interest in the island of Hawaiʻi. If you are a journalist, broadcast production or social media influencer, and would like to be considered for a sponsored media visit to the island of Hawaiʻi, please complete this questionnaire for the Island of Hawaiʻi Visitors Bureau (IHVB). We will review your request and respond as soon as possible. As we receive a large number of inquiries, we appreciate your understanding that we are not able to support all requests.

Important Notes:

  • Due to the volume of requests, if you are submitting this questionnaire within six (6) weeks of your desired travel dates, your request may not be given full consideration. In working with our members and industry partners, IHVB requires adequate time for evaluation and coordination of all travel logistics.
  • We kindly request links to recently published travel stories, posts for other sponsored destination visits and/or previous broadcast segments. If links aren't possible, please email PDFs. Sample works can be emailed to cheyenne.maltezo@anthologygroup.com.
  • All media and social media influencers receiving travel assistance to the island of Hawaiʻi from the Island of Hawaiʻi Visitors Bureau are required to complete a Waiver and Release Form.
  • IHVB only provides travel assistance for qualified media or social media influencers on assignment. If you are traveling with a writing partner or photographer, he/she must complete a separate form to be considered for assistance.

IHVB Assistance Disclaimer:
I am aware of the Federal Trade Commission's "Guides Concerning the Use of Endorsement and Testimonials in Advertising" effective December 1, 2009. I understand and will make every effort to comply with FTC guidelines to inform my audience that this visit was sponsored and/or assisted by the Island of Hawaiʻi Visitors Bureau.

Thank you for taking the time to complete this questionnaire.

Mahalo,
IHVB PR Team

First Participant's Name

First Name*

Middle Name

Last Name*

Phone*
First Participant's Date of Birth*
I certify that I am 18 years of age or older
First Participant's Information

Title

Company

If you plan to travel with someone, please note name(s) and relationship. If traveling alone, note "n/a"

If you plan to post on your personal social media channels, please note your profile URLs


Instagram

Facebook

YouTube

Other

All normal driver qualifications will apply, including minimum age (25), a valid driver's license, and a major credit card. If applicable, please denote anything regarding your ability to drive a car that you feel we should be aware of.

SUPPORT DETAILS

Type of support requested *
Airfare
Accommodations
Activities
Ground Transportation
Recommendations

If you are seeking assistance with transpacific airfare, please list your preferred departure city. If no, please provide your final flight itinerary

Arrival Date *

Departure Date *
Are your dates flexible?*
No
Yes

Please list any special requests such as specific activities you're interested in or people you'd like to interview, etc

Please note any accommodations or activities that have already been secured

Please indicate whom (hotels, activities, restaurants) you intend to credit in your story and how you intend to credit them (i.e. editorial mention, sidebar, photos, etc.) *

PRINT/ONLINE PUBLICATIONS

Publication 1


Name

Circulation/UVPM

Demographic Profile

Expected Date of Publication

Story Angle

Do you expect coverage to be shared via social media? If so, by which channels?

Publication 2


Name

Circulation/UVPM

Demographic Profile

Expected Date of Publication

Story Angle

Do you expect coverage to be shared via social media? If so, by which channels?

Additional Outlets

SOCIAL MEDIA INFLUENCER


1. How would you like to partner with the Island of Hawaiʻi Visitors Bureau?

2. List any existing relationships with other travel destinations, organizations, or brands

3. Who are your followers (demographic profile)?

4. Please share your social media profile URLs and reach


Facebook 
URL

Page Likes (as of submission date)

Instagram
URL/handle

Followers (as of submission date)

YouTube
 URL

Subscribers (as of submission date)

Other(s)
 URL

Community size (as of submission date)

BROADCAST CHANNELS


1. Title of Show

2. Network/Station

3. Length of Show (i.e. 1/2 hour, 1 hour)

4. Will Hawaiʻi Island be a whole episode or segment?

5. If a segment, how long will it be?

6. Viewership per episode/show? (not household numbers)

7. Demographic Profile

8. Expected Air Date

9. Number of crew traveling to Hawaiʻi Island:
10. Will you be hiring local crew?*
No
Yes
First Participant's Signature*
Second Participant's Name

First Name*

Middle Name

Last Name*
Second Participant's Date of Birth*
Second Participant's Information

Title

Company

If you plan to travel with someone, please note name(s) and relationship. If traveling alone, note "n/a"

If you plan to post on your personal social media channels, please note your profile URLs


Instagram

Facebook

YouTube

Other

All normal driver qualifications will apply, including minimum age (25), a valid driver's license, and a major credit card. If applicable, please denote anything regarding your ability to drive a car that you feel we should be aware of.

SUPPORT DETAILS

Type of support requested *
Airfare
Accommodations
Activities
Ground Transportation
Recommendations

If you are seeking assistance with transpacific airfare, please list your preferred departure city. If no, please provide your final flight itinerary

Arrival Date *

Departure Date *
Are your dates flexible?*
No
Yes

Please list any special requests such as specific activities you're interested in or people you'd like to interview, etc

Please note any accommodations or activities that have already been secured

Please indicate whom (hotels, activities, restaurants) you intend to credit in your story and how you intend to credit them (i.e. editorial mention, sidebar, photos, etc.) *

PRINT/ONLINE PUBLICATIONS

Publication 1


Name

Circulation/UVPM

Demographic Profile

Expected Date of Publication

Story Angle

Do you expect coverage to be shared via social media? If so, by which channels?

Publication 2


Name

Circulation/UVPM

Demographic Profile

Expected Date of Publication

Story Angle

Do you expect coverage to be shared via social media? If so, by which channels?

Additional Outlets

SOCIAL MEDIA INFLUENCER


1. How would you like to partner with the Island of Hawaiʻi Visitors Bureau?

2. List any existing relationships with other travel destinations, organizations, or brands

3. Who are your followers (demographic profile)?

4. Please share your social media profile URLs and reach


Facebook 
URL

Page Likes (as of submission date)

Instagram
URL/handle

Followers (as of submission date)

YouTube
 URL

Subscribers (as of submission date)

Other(s)
 URL

Community size (as of submission date)

BROADCAST CHANNELS


1. Title of Show

2. Network/Station

3. Length of Show (i.e. 1/2 hour, 1 hour)

4. Will Hawaiʻi Island be a whole episode or segment?

5. If a segment, how long will it be?

6. Viewership per episode/show? (not household numbers)

7. Demographic Profile

8. Expected Air Date

9. Number of crew traveling to Hawaiʻi Island:
10. Will you be hiring local crew?*
No
Yes
Third Participant's Name

First Name*

Middle Name

Last Name*
Third Participant's Date of Birth*
Third Participant's Information

Title

Company

If you plan to travel with someone, please note name(s) and relationship. If traveling alone, note "n/a"

If you plan to post on your personal social media channels, please note your profile URLs


Instagram

Facebook

YouTube

Other

All normal driver qualifications will apply, including minimum age (25), a valid driver's license, and a major credit card. If applicable, please denote anything regarding your ability to drive a car that you feel we should be aware of.

SUPPORT DETAILS

Type of support requested *
Airfare
Accommodations
Activities
Ground Transportation
Recommendations

If you are seeking assistance with transpacific airfare, please list your preferred departure city. If no, please provide your final flight itinerary

Arrival Date *

Departure Date *
Are your dates flexible?*
No
Yes

Please list any special requests such as specific activities you're interested in or people you'd like to interview, etc

Please note any accommodations or activities that have already been secured

Please indicate whom (hotels, activities, restaurants) you intend to credit in your story and how you intend to credit them (i.e. editorial mention, sidebar, photos, etc.) *

PRINT/ONLINE PUBLICATIONS

Publication 1


Name

Circulation/UVPM

Demographic Profile

Expected Date of Publication

Story Angle

Do you expect coverage to be shared via social media? If so, by which channels?

Publication 2


Name

Circulation/UVPM

Demographic Profile

Expected Date of Publication

Story Angle

Do you expect coverage to be shared via social media? If so, by which channels?

Additional Outlets

SOCIAL MEDIA INFLUENCER


1. How would you like to partner with the Island of Hawaiʻi Visitors Bureau?

2. List any existing relationships with other travel destinations, organizations, or brands

3. Who are your followers (demographic profile)?

4. Please share your social media profile URLs and reach


Facebook 
URL

Page Likes (as of submission date)

Instagram
URL/handle

Followers (as of submission date)

YouTube
 URL

Subscribers (as of submission date)

Other(s)
 URL

Community size (as of submission date)

BROADCAST CHANNELS


1. Title of Show

2. Network/Station

3. Length of Show (i.e. 1/2 hour, 1 hour)

4. Will Hawaiʻi Island be a whole episode or segment?

5. If a segment, how long will it be?

6. Viewership per episode/show? (not household numbers)

7. Demographic Profile

8. Expected Air Date

9. Number of crew traveling to Hawaiʻi Island:
10. Will you be hiring local crew?*
No
Yes
Fourth Participant's Name

First Name*

Middle Name

Last Name*
Fourth Participant's Date of Birth*
Fourth Participant's Information

Title

Company

If you plan to travel with someone, please note name(s) and relationship. If traveling alone, note "n/a"

If you plan to post on your personal social media channels, please note your profile URLs


Instagram

Facebook

YouTube

Other

All normal driver qualifications will apply, including minimum age (25), a valid driver's license, and a major credit card. If applicable, please denote anything regarding your ability to drive a car that you feel we should be aware of.

SUPPORT DETAILS

Type of support requested *
Airfare
Accommodations
Activities
Ground Transportation
Recommendations

If you are seeking assistance with transpacific airfare, please list your preferred departure city. If no, please provide your final flight itinerary

Arrival Date *

Departure Date *
Are your dates flexible?*
No
Yes

Please list any special requests such as specific activities you're interested in or people you'd like to interview, etc

Please note any accommodations or activities that have already been secured

Please indicate whom (hotels, activities, restaurants) you intend to credit in your story and how you intend to credit them (i.e. editorial mention, sidebar, photos, etc.) *

PRINT/ONLINE PUBLICATIONS

Publication 1


Name

Circulation/UVPM

Demographic Profile

Expected Date of Publication

Story Angle

Do you expect coverage to be shared via social media? If so, by which channels?

Publication 2


Name

Circulation/UVPM

Demographic Profile

Expected Date of Publication

Story Angle

Do you expect coverage to be shared via social media? If so, by which channels?

Additional Outlets

SOCIAL MEDIA INFLUENCER


1. How would you like to partner with the Island of Hawaiʻi Visitors Bureau?

2. List any existing relationships with other travel destinations, organizations, or brands

3. Who are your followers (demographic profile)?

4. Please share your social media profile URLs and reach


Facebook 
URL

Page Likes (as of submission date)

Instagram
URL/handle

Followers (as of submission date)

YouTube
 URL

Subscribers (as of submission date)

Other(s)
 URL

Community size (as of submission date)

BROADCAST CHANNELS


1. Title of Show

2. Network/Station

3. Length of Show (i.e. 1/2 hour, 1 hour)

4. Will Hawaiʻi Island be a whole episode or segment?

5. If a segment, how long will it be?

6. Viewership per episode/show? (not household numbers)

7. Demographic Profile

8. Expected Air Date

9. Number of crew traveling to Hawaiʻi Island:
10. Will you be hiring local crew?*
No
Yes
Fifth Participant's Name

First Name*

Middle Name

Last Name*
Fifth Participant's Date of Birth*
Fifth Participant's Information

Title

Company

If you plan to travel with someone, please note name(s) and relationship. If traveling alone, note "n/a"

If you plan to post on your personal social media channels, please note your profile URLs


Instagram

Facebook

YouTube

Other

All normal driver qualifications will apply, including minimum age (25), a valid driver's license, and a major credit card. If applicable, please denote anything regarding your ability to drive a car that you feel we should be aware of.

SUPPORT DETAILS

Type of support requested *
Airfare
Accommodations
Activities
Ground Transportation
Recommendations

If you are seeking assistance with transpacific airfare, please list your preferred departure city. If no, please provide your final flight itinerary

Arrival Date *

Departure Date *
Are your dates flexible?*
No
Yes

Please list any special requests such as specific activities you're interested in or people you'd like to interview, etc

Please note any accommodations or activities that have already been secured

Please indicate whom (hotels, activities, restaurants) you intend to credit in your story and how you intend to credit them (i.e. editorial mention, sidebar, photos, etc.) *

PRINT/ONLINE PUBLICATIONS

Publication 1


Name

Circulation/UVPM

Demographic Profile

Expected Date of Publication

Story Angle

Do you expect coverage to be shared via social media? If so, by which channels?

Publication 2


Name

Circulation/UVPM

Demographic Profile

Expected Date of Publication

Story Angle

Do you expect coverage to be shared via social media? If so, by which channels?

Additional Outlets

SOCIAL MEDIA INFLUENCER


1. How would you like to partner with the Island of Hawaiʻi Visitors Bureau?

2. List any existing relationships with other travel destinations, organizations, or brands

3. Who are your followers (demographic profile)?

4. Please share your social media profile URLs and reach


Facebook 
URL

Page Likes (as of submission date)

Instagram
URL/handle

Followers (as of submission date)

YouTube
 URL

Subscribers (as of submission date)

Other(s)
 URL

Community size (as of submission date)

BROADCAST CHANNELS


1. Title of Show

2. Network/Station

3. Length of Show (i.e. 1/2 hour, 1 hour)

4. Will Hawaiʻi Island be a whole episode or segment?

5. If a segment, how long will it be?

6. Viewership per episode/show? (not household numbers)

7. Demographic Profile

8. Expected Air Date

9. Number of crew traveling to Hawaiʻi Island:
10. Will you be hiring local crew?*
No
Yes
Sixth Participant's Name

First Name*

Middle Name

Last Name*
Sixth Participant's Date of Birth*
Sixth Participant's Information

Title

Company

If you plan to travel with someone, please note name(s) and relationship. If traveling alone, note "n/a"

If you plan to post on your personal social media channels, please note your profile URLs


Instagram

Facebook

YouTube

Other

All normal driver qualifications will apply, including minimum age (25), a valid driver's license, and a major credit card. If applicable, please denote anything regarding your ability to drive a car that you feel we should be aware of.

SUPPORT DETAILS

Type of support requested *
Airfare
Accommodations
Activities
Ground Transportation
Recommendations

If you are seeking assistance with transpacific airfare, please list your preferred departure city. If no, please provide your final flight itinerary

Arrival Date *

Departure Date *
Are your dates flexible?*
No
Yes

Please list any special requests such as specific activities you're interested in or people you'd like to interview, etc

Please note any accommodations or activities that have already been secured

Please indicate whom (hotels, activities, restaurants) you intend to credit in your story and how you intend to credit them (i.e. editorial mention, sidebar, photos, etc.) *

PRINT/ONLINE PUBLICATIONS

Publication 1


Name

Circulation/UVPM

Demographic Profile

Expected Date of Publication

Story Angle

Do you expect coverage to be shared via social media? If so, by which channels?

Publication 2


Name

Circulation/UVPM

Demographic Profile

Expected Date of Publication

Story Angle

Do you expect coverage to be shared via social media? If so, by which channels?

Additional Outlets

SOCIAL MEDIA INFLUENCER


1. How would you like to partner with the Island of Hawaiʻi Visitors Bureau?

2. List any existing relationships with other travel destinations, organizations, or brands

3. Who are your followers (demographic profile)?

4. Please share your social media profile URLs and reach


Facebook 
URL

Page Likes (as of submission date)

Instagram
URL/handle

Followers (as of submission date)

YouTube
 URL

Subscribers (as of submission date)

Other(s)
 URL

Community size (as of submission date)

BROADCAST CHANNELS


1. Title of Show

2. Network/Station

3. Length of Show (i.e. 1/2 hour, 1 hour)

4. Will Hawaiʻi Island be a whole episode or segment?

5. If a segment, how long will it be?

6. Viewership per episode/show? (not household numbers)

7. Demographic Profile

8. Expected Air Date

9. Number of crew traveling to Hawaiʻi Island:
10. Will you be hiring local crew?*
No
Yes
Seventh Participant's Name

First Name*

Middle Name

Last Name*
Seventh Participant's Date of Birth*
Seventh Participant's Information

Title

Company

If you plan to travel with someone, please note name(s) and relationship. If traveling alone, note "n/a"

If you plan to post on your personal social media channels, please note your profile URLs


Instagram

Facebook

YouTube

Other

All normal driver qualifications will apply, including minimum age (25), a valid driver's license, and a major credit card. If applicable, please denote anything regarding your ability to drive a car that you feel we should be aware of.

SUPPORT DETAILS

Type of support requested *
Airfare
Accommodations
Activities
Ground Transportation
Recommendations

If you are seeking assistance with transpacific airfare, please list your preferred departure city. If no, please provide your final flight itinerary

Arrival Date *

Departure Date *
Are your dates flexible?*
No
Yes

Please list any special requests such as specific activities you're interested in or people you'd like to interview, etc

Please note any accommodations or activities that have already been secured

Please indicate whom (hotels, activities, restaurants) you intend to credit in your story and how you intend to credit them (i.e. editorial mention, sidebar, photos, etc.) *

PRINT/ONLINE PUBLICATIONS

Publication 1


Name

Circulation/UVPM

Demographic Profile

Expected Date of Publication

Story Angle

Do you expect coverage to be shared via social media? If so, by which channels?

Publication 2


Name

Circulation/UVPM

Demographic Profile

Expected Date of Publication

Story Angle

Do you expect coverage to be shared via social media? If so, by which channels?

Additional Outlets

SOCIAL MEDIA INFLUENCER


1. How would you like to partner with the Island of Hawaiʻi Visitors Bureau?

2. List any existing relationships with other travel destinations, organizations, or brands

3. Who are your followers (demographic profile)?

4. Please share your social media profile URLs and reach


Facebook 
URL

Page Likes (as of submission date)

Instagram
URL/handle

Followers (as of submission date)

YouTube
 URL

Subscribers (as of submission date)

Other(s)
 URL

Community size (as of submission date)

BROADCAST CHANNELS


1. Title of Show

2. Network/Station

3. Length of Show (i.e. 1/2 hour, 1 hour)

4. Will Hawaiʻi Island be a whole episode or segment?

5. If a segment, how long will it be?

6. Viewership per episode/show? (not household numbers)

7. Demographic Profile

8. Expected Air Date

9. Number of crew traveling to Hawaiʻi Island:
10. Will you be hiring local crew?*
No
Yes
Eighth Participant's Name

First Name*

Middle Name

Last Name*
Eighth Participant's Date of Birth*
Eighth Participant's Information

Title

Company

If you plan to travel with someone, please note name(s) and relationship. If traveling alone, note "n/a"

If you plan to post on your personal social media channels, please note your profile URLs


Instagram

Facebook

YouTube

Other

All normal driver qualifications will apply, including minimum age (25), a valid driver's license, and a major credit card. If applicable, please denote anything regarding your ability to drive a car that you feel we should be aware of.

SUPPORT DETAILS

Type of support requested *
Airfare
Accommodations
Activities
Ground Transportation
Recommendations

If you are seeking assistance with transpacific airfare, please list your preferred departure city. If no, please provide your final flight itinerary

Arrival Date *

Departure Date *
Are your dates flexible?*
No
Yes

Please list any special requests such as specific activities you're interested in or people you'd like to interview, etc

Please note any accommodations or activities that have already been secured

Please indicate whom (hotels, activities, restaurants) you intend to credit in your story and how you intend to credit them (i.e. editorial mention, sidebar, photos, etc.) *

PRINT/ONLINE PUBLICATIONS

Publication 1


Name

Circulation/UVPM

Demographic Profile

Expected Date of Publication

Story Angle

Do you expect coverage to be shared via social media? If so, by which channels?

Publication 2


Name

Circulation/UVPM

Demographic Profile

Expected Date of Publication

Story Angle

Do you expect coverage to be shared via social media? If so, by which channels?

Additional Outlets

SOCIAL MEDIA INFLUENCER


1. How would you like to partner with the Island of Hawaiʻi Visitors Bureau?

2. List any existing relationships with other travel destinations, organizations, or brands

3. Who are your followers (demographic profile)?

4. Please share your social media profile URLs and reach


Facebook 
URL

Page Likes (as of submission date)

Instagram
URL/handle

Followers (as of submission date)

YouTube
 URL

Subscribers (as of submission date)

Other(s)
 URL

Community size (as of submission date)

BROADCAST CHANNELS


1. Title of Show

2. Network/Station

3. Length of Show (i.e. 1/2 hour, 1 hour)

4. Will Hawaiʻi Island be a whole episode or segment?

5. If a segment, how long will it be?

6. Viewership per episode/show? (not household numbers)

7. Demographic Profile

8. Expected Air Date

9. Number of crew traveling to Hawaiʻi Island:
10. Will you be hiring local crew?*
No
Yes
Ninth Participant's Name

First Name*

Middle Name

Last Name*
Ninth Participant's Date of Birth*
Ninth Participant's Information

Title

Company

If you plan to travel with someone, please note name(s) and relationship. If traveling alone, note "n/a"

If you plan to post on your personal social media channels, please note your profile URLs


Instagram

Facebook

YouTube

Other

All normal driver qualifications will apply, including minimum age (25), a valid driver's license, and a major credit card. If applicable, please denote anything regarding your ability to drive a car that you feel we should be aware of.

SUPPORT DETAILS

Type of support requested *
Airfare
Accommodations
Activities
Ground Transportation
Recommendations

If you are seeking assistance with transpacific airfare, please list your preferred departure city. If no, please provide your final flight itinerary

Arrival Date *

Departure Date *
Are your dates flexible?*
No
Yes

Please list any special requests such as specific activities you're interested in or people you'd like to interview, etc

Please note any accommodations or activities that have already been secured

Please indicate whom (hotels, activities, restaurants) you intend to credit in your story and how you intend to credit them (i.e. editorial mention, sidebar, photos, etc.) *

PRINT/ONLINE PUBLICATIONS

Publication 1


Name

Circulation/UVPM

Demographic Profile

Expected Date of Publication

Story Angle

Do you expect coverage to be shared via social media? If so, by which channels?

Publication 2


Name

Circulation/UVPM

Demographic Profile

Expected Date of Publication

Story Angle

Do you expect coverage to be shared via social media? If so, by which channels?

Additional Outlets

SOCIAL MEDIA INFLUENCER


1. How would you like to partner with the Island of Hawaiʻi Visitors Bureau?

2. List any existing relationships with other travel destinations, organizations, or brands

3. Who are your followers (demographic profile)?

4. Please share your social media profile URLs and reach


Facebook 
URL

Page Likes (as of submission date)

Instagram
URL/handle

Followers (as of submission date)

YouTube
 URL

Subscribers (as of submission date)

Other(s)
 URL

Community size (as of submission date)

BROADCAST CHANNELS


1. Title of Show

2. Network/Station

3. Length of Show (i.e. 1/2 hour, 1 hour)

4. Will Hawaiʻi Island be a whole episode or segment?

5. If a segment, how long will it be?

6. Viewership per episode/show? (not household numbers)

7. Demographic Profile

8. Expected Air Date

9. Number of crew traveling to Hawaiʻi Island:
10. Will you be hiring local crew?*
No
Yes
Tenth Participant's Name

First Name*

Middle Name

Last Name*
Tenth Participant's Date of Birth*
Tenth Participant's Information

Title

Company

If you plan to travel with someone, please note name(s) and relationship. If traveling alone, note "n/a"

If you plan to post on your personal social media channels, please note your profile URLs


Instagram

Facebook

YouTube

Other

All normal driver qualifications will apply, including minimum age (25), a valid driver's license, and a major credit card. If applicable, please denote anything regarding your ability to drive a car that you feel we should be aware of.

SUPPORT DETAILS

Type of support requested *
Airfare
Accommodations
Activities
Ground Transportation
Recommendations

If you are seeking assistance with transpacific airfare, please list your preferred departure city. If no, please provide your final flight itinerary

Arrival Date *

Departure Date *
Are your dates flexible?*
No
Yes

Please list any special requests such as specific activities you're interested in or people you'd like to interview, etc

Please note any accommodations or activities that have already been secured

Please indicate whom (hotels, activities, restaurants) you intend to credit in your story and how you intend to credit them (i.e. editorial mention, sidebar, photos, etc.) *

PRINT/ONLINE PUBLICATIONS

Publication 1


Name

Circulation/UVPM

Demographic Profile

Expected Date of Publication

Story Angle

Do you expect coverage to be shared via social media? If so, by which channels?

Publication 2


Name

Circulation/UVPM

Demographic Profile

Expected Date of Publication

Story Angle

Do you expect coverage to be shared via social media? If so, by which channels?

Additional Outlets

SOCIAL MEDIA INFLUENCER


1. How would you like to partner with the Island of Hawaiʻi Visitors Bureau?

2. List any existing relationships with other travel destinations, organizations, or brands

3. Who are your followers (demographic profile)?

4. Please share your social media profile URLs and reach


Facebook 
URL

Page Likes (as of submission date)

Instagram
URL/handle

Followers (as of submission date)

YouTube
 URL

Subscribers (as of submission date)

Other(s)
 URL

Community size (as of submission date)

BROADCAST CHANNELS


1. Title of Show

2. Network/Station

3. Length of Show (i.e. 1/2 hour, 1 hour)

4. Will Hawaiʻi Island be a whole episode or segment?

5. If a segment, how long will it be?

6. Viewership per episode/show? (not household numbers)

7. Demographic Profile

8. Expected Air Date

9. Number of crew traveling to Hawaiʻi Island:
10. Will you be hiring local crew?*
No
Yes
Parent or Guardian's Email Address

Email
A signed copy of this waiver will be sent to the email address you provide.
Parent(s) or court-appointed legal guardian(s) must sign for any participating minor (those under 18 years of age) and agree that they and the minor are subject to all the terms of this document, as set forth above.
Parent or Guardian's Name

First Name*

Middle Name

Last Name*

Phone*
Parent or Guardian's Date of Birth*
I certify that I am 18 years of age or older
Parent or Guardian's Information

Title

Company

If you plan to travel with someone, please note name(s) and relationship. If traveling alone, note "n/a"

If you plan to post on your personal social media channels, please note your profile URLs


Instagram

Facebook

YouTube

Other

All normal driver qualifications will apply, including minimum age (25), a valid driver's license, and a major credit card. If applicable, please denote anything regarding your ability to drive a car that you feel we should be aware of.

SUPPORT DETAILS

Type of support requested *
Airfare
Accommodations
Activities
Ground Transportation
Recommendations

If you are seeking assistance with transpacific airfare, please list your preferred departure city. If no, please provide your final flight itinerary

Arrival Date *

Departure Date *
Are your dates flexible?*
No
Yes

Please list any special requests such as specific activities you're interested in or people you'd like to interview, etc

Please note any accommodations or activities that have already been secured

Please indicate whom (hotels, activities, restaurants) you intend to credit in your story and how you intend to credit them (i.e. editorial mention, sidebar, photos, etc.) *

PRINT/ONLINE PUBLICATIONS

Publication 1


Name

Circulation/UVPM

Demographic Profile

Expected Date of Publication

Story Angle

Do you expect coverage to be shared via social media? If so, by which channels?

Publication 2


Name

Circulation/UVPM

Demographic Profile

Expected Date of Publication

Story Angle

Do you expect coverage to be shared via social media? If so, by which channels?

Additional Outlets

SOCIAL MEDIA INFLUENCER


1. How would you like to partner with the Island of Hawaiʻi Visitors Bureau?

2. List any existing relationships with other travel destinations, organizations, or brands

3. Who are your followers (demographic profile)?

4. Please share your social media profile URLs and reach


Facebook 
URL

Page Likes (as of submission date)

Instagram
URL/handle

Followers (as of submission date)

YouTube
 URL

Subscribers (as of submission date)

Other(s)
 URL

Community size (as of submission date)

BROADCAST CHANNELS


1. Title of Show

2. Network/Station

3. Length of Show (i.e. 1/2 hour, 1 hour)

4. Will Hawaiʻi Island be a whole episode or segment?

5. If a segment, how long will it be?

6. Viewership per episode/show? (not household numbers)

7. Demographic Profile

8. Expected Air Date

9. Number of crew traveling to Hawaiʻi Island:
10. Will you be hiring local crew?*
No
Yes
Parent or Guardian's Signature*
Electronic Signature Consent*
 By checking here, you are consenting to the use of your electronic signature in lieu of an original signature on paper. You have the right to request that you sign a paper copy instead. By checking here, you are waiving that right. After consent, you may, upon written request to us, obtain a paper copy of an electronic record. No fee will be charged for such copy and no special hardware or software is required to view it. Your agreement to use an electronic signature with us for any documents will continue until such time as you notify us in writing that you no longer wish to use an electronic signature. There is no penalty for withdrawing your consent. You should always make sure that we have a current email address in order to contact you regarding any changes, if necessary.


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