Interview Requests

Interview Details

Proposed Date(s) of interview:

1st choice:

/ /

2nd choice:

/ /

3rd choice:

/ /

Length of time requested:

Purpose for this interview:

Number of cameras at
interview

TV       Still

Discussion Points:
(500 character max)

Attending (include names and positions)
(NOTE: Only people listed will be admitted to this interview - 500 character max)


Interviewer Details

Name of interviewer:

Position / Title:

Media Organization:

Type of media organization:

Print   TV   Radio   Other

Address:

City / State / Zip:

Phone:

Fax:

Email:

Website address:

Attaching a file?

Yes
No

Attach any additional information or questions:

PLEASE NOTE: You will be notified within two weeks of the submittal of this form as to whether your request has been granted or denied. If you are requesting a date that is more than 45 days away, you will not receive final determination until your requested date comes within that time frame.