Press Release Request Form

Primary Contact Person:
DrMrMrsMs

Secondary Contact Person (for quotes):
DrMrMrsMs

Press Realease Information:


Please submit request form no later than 2 weeks before requested realease date.

The 5 W's WHAT is the release about: (an event, and award, research findings, etc.) THIS IS THE NEWS ITEM!

WHO are the key players: (who sponsored it, who should attend , who received the award, who conducted the research, etc.)

WHERE did/will the news item occur:

WHEN did/will the news item occur:

WHY (QUOTES)
Each release is unique. However, some key "news values" to address when formulating quotes include:
Audience (Address what the audience wants/needs to know)
Impact (Address who will be affected and how they will be affected)
Novelty (Address what is interesting about the news item)
Conflict (Address any controversial aspect of the news item)


Biographical Information

If the press release is about an award or honor, please write a short biographical paragraph about yourself, including educational information, other honors and awards received, hometown, parent(s) name(s), etc.

Additional Information

Please add any additional information (URLs to Web sites about the news item, agendas, speaker bios, related press releases, etc.

Photo

Please upload a headshot of yourself. If the photo is about an individual, please do not submit a group photo.

Please enter the text from the image into the box below:

  

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