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Media Request Form
Media Request Form
Media Requests Form
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This field is for validation purposes and should be left unchanged.
First Name
*
Last Name
*
Email
*
Phone
*
Are you a STUDENT reporter?
*
Yes
No
Please describe if this is for a CLASS, PUBLICATION, or OTHER
*
Class
Publication/Print or Digital
Other
PUBLICATION NAME
*
Please enter the name of your publication or media outlet - If other, please type N/A.
Media Outlet WEBSITE
Select type(s) of content you are seeking
*
Select All
General Information/Press Release
Interview (Phone)
Interview (In-Person)
Photo/Video
Other
If OTHER, please describe
To which department(s) does this apply?
*
Select All
Planning, Design, & Construction
Facilities Services
Office of Real Estate
Story Topic
*
Deadline
*
Last possible date for an interview or receipt of content/images/etc. Please note we require 72 hours upon receipt of this form to process your request.
MM slash DD slash YYYY
Interview Questions
*
Please list the questions you would like to ask. This will help our departments gather the needed information promptly.
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