Media Story Request Form

Name of Media Outlet:

Reporter's Name:

Reporter's Email:

Contact Phone Number:

General Topic of Story:

Your Questions Related to the topic:

Your Specific Request:
Options: information only, interview, photo, b-roll, live shots at campus, etc.

Preferred Time Frame:

Please include copy of web article or any additional info that prompted your inquiry:

Thank you for your inquiry. You will receive a confirmation e-mail once your request has been reviewed. Media requests are handled on a first come, first serve basis.

Ignore this box