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Media Request Form
Media Request Form
Media Requests Form
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.
Phone
This field is for validation purposes and should be left unchanged.
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