Requestor Name:*

Phone No./Extension:*

Email:*

Sending digital photos:

Description of event to be covered:*

Date the event will occur (mm/dd/yy):*

(mm/dd/yy)

Event time:*

Where will event take place?*

Admission charge? How much?

What is the chief point(s) to be conveyed in the release:

Who will be interviewed?

Background/biographical material about speaker or person to be interviewed or the event:

Person at UC to contact for more information:

Additional Comments:

(use this space to list newspapers, radio, and TV stations to be notified or to give us additional information)