F10 D2 - ARKANSAS MEDIA/PUBLICITY INFORMATION- 2016
Miss Arkansas Media/Publicity Information Sheet, Form: F10 D2 2016: PRESS RELEASES: DUE: By April 24 GForm: DO NOT put in your packet-all info will upload so be sure your data is typed correctly. Prior to, and throughout pageant week the Miss Arkansas Media Director will send PRESS RELEASES regarding contestants & Preliminary winners information to local and state media. Each night releases will be sent with the preliminary winners information. Fill out the information below to help us reach the correct person at your high school, college, university or pre-professional school and hometown paper. Please provide an actual person's contact information so that our story is more likely to get into the paper. FOR EACH PRINT MEDIA OUTLET SUBMITTED, PLEASE COMPLETE THE FOLLOWING INFORMATION. If you do not provide the contacts email address we will be unable to send releases and photographs to the media contact during pageant week. (You may submit as many as you would like. You have space for at least six(6), but can submit less or more. If you wish to submit more than six (6) use the other box and list all media contact information. Think about your hometown, your school, your parents hometown, anywhere that would be interested in receiving the story.)
FOR MORE MEDIA INFORMATION/QUESTIONS CONTACT:
TONI BAHN, MISS ARKANSAS MEDIA DIRECTOR, 479-409-4389 missarkansaspress@yahoo.com
Title (without Miss)
Your answer
Name
Print your name as it is to appear in the media.
Your answer
School, Higher Instution or Other
What school are you attending. Example: Susie Contestant is attending the University of Life. If you are a senior in high school and going to college the next year it is your choice to put college/university or higher instution you plan to attend.
Your answer
Year in School?
Check the one that applies. If none apply check other and explain. example 1st year Grad School, Pharmacy or Medical School etc.
Major?
Your answer
If a college graduate- What school and year did you graduate?
Your answer
Date of Birth?
MM
/
DD
/
YYYY
Age?
Your answer
Hometown?
City only if in the State of Arkanas. If not list the state.
Your answer
Your email address?
What is the email address the Media Director can use to contact you? This will not be given to the Press.
Your answer
Mobile Phone Number? (xxx) xxx-xxxx?
What is the Phone number the Media Director can use to contact your during pageant week if needed? This will not be given to the Press.
Your answer
Parents Name?
Enter as it is to appear in media. EXAMPLE: Mr. & Mrs. Jo Contestant; Susan Contestant and Jo Contestant; Susan Contestant and the Late Jo Contestant. Etc.
Your answer
Parents Hometown?
City only if in the State of Arkanas. If not list the state.
Your answer
Do you use Social Media?
If yes please check all that apply.
Required
If you use Facebook please give your name as it appears on Facebook.
Example: I use CJ Wiison
Your answer
If you use Twitter please give your name as it appears on Twitter
Example: Ashton is @MissAR2014; The Miss Arkansas Pageant is @MissArkansas; Toni is @tonibahn; I am @cj1852 etc;
Your answer
If you use Instagram please give your name as it appears on Instagram.
Example: Ashton is @MissAR2014; The Miss Arkansas Pageant is @MissArkansas; Toni is @tonibahn; I am @cj1852 etc;
Your answer
If you use other Social Media please provide the social media name and your name as it appears on that Social Media.
Your answer
How many medial outlets are you submitting.
Check the number that applies? If other please list the number outlets you with to receive your story?You will be able to submit details later in the form.
#1 Media Outlet: Name
Your answer
#1 Media Outlet: Contact Person's Name
Your answer
#1 Media Outlet: Contact Person's Email Address
Your answer
#2 Media Outlet: Name
Your answer
#2 Media Outlet: Contact Person's Name
Your answer
#2 Media Outlet: Contact Person's Email Address
Your answer
#3 Media Outlet: Name
Your answer
#3 Media Outlet: Contact Person's Name
Your answer
#3 Media Outlet: Contact Person's Email Address
Your answer
#4 Media Outlet: Name
Your answer
#4 Media Outlet: Contact Person's Name
Your answer
#4 Media Outlet: Contact Person's Email Address
Your answer
#5 Medial Outlet: Name
Your answer
#5 Media Outlet: Contact Person's Name
Your answer
#5 Media Outlet: Contact Person's Email Address
Your answer
#6 Media Outlet: Name
Your answer
#6 Media Outlet: Contact Person's Name
Your answer
#6 Media Outlet: Contact Person's Email Address
Your answer
OTHER Media Outlets:
Please list the Name, Contact Person's Name; and Email Address for each over the #6.
Your answer
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