Request for Media Coverage
Name *
Title *
Email *
Phone Number *
School or Department *
Event/Program Information
Please provide as many details as possible.
Person or Organizations Involved *
Brief Description of the Event/Program *
Date *
MM
/
DD
/
YYYY
Start Time *
Time
:
End Time (Approximate) *
Time
:
Location (Include physical address if possible.) *
Additional Details (If necessary)
I am requesting:
Please note that media coverage is not guaranteed.
Please attach any promotional items (fliers, etc.)
Please complete all necessary fields before submitting your request.
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