You must have JavaScript enabled to use this form. Media Outlet (name of newspaper, television, radio, journal, magazine, etc): What type of media request is this? - None -StatementIn-Person InterviewPre-Recorded Radio InterviewLive Radio InterviewPre-Recorded Camera InterviewLive Camera Interview If you are asking for an interview, how long will be it? (Please include prep-time in your time) Reporter’s Name News Office Phone Number Reporter’s Mobile Number Reporter’s Email Deadline (Date and Time) Deadline (Date and Time): Date Deadline (Date and Time): Time Issue Area (What is this in regards to?) Are there any questions that you can provide? Leave this field blank