Request for Services - News Release

Today's Date:* Phone:*
Requestor:* E-mail:*
Office location:* Age:

Description/Title of Event:* Date:*
Time:* Location:*
Contact person, if different than requestor: Phone:
Office location: E-mail:


(Please note: Contact person will be responsible for reviewing news releases for accuracy and correctness. This review privilege may be extended to others, but should not interfere with timely release of the information. The contact person should also be prepared to take an active role in media appearances for this release.)


Is contact person available for interviews: (TV, radio, print)?*



Photography needed?*
Yes, photos are available Yes, please provide photography service (if you select this option, please fill in the Photography Request as well) No, thanks

Request has been approved by: (Name)*
(Dean, department chair, vice-president, faculty sponsor, etc.)    


Specific media to send release to: (Professional journals, newsletters, target publications, etc.)

Name of Outlet: Name of Outlet:
Address: Address:
Contact: Contact:

(* Indicates Required Field)

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