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Faculty/Staff Questionnaire
Requestor Name:*
Phone No./Extension:*
Email:*
Sending a digital photo
What is the chief point(s) to be conveyed in the release:
Who will be interviewed?
Background/biographical material about person or 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)