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Publicity/Publication Request Form
 
 
 
Please note: Production will not start until all materials are received. Most jobs require 4 weeks lead-time. Before filling out this form, make sure you have read our PROJECT LEAD TIMES.
 
 
 
Project Lead Information
 
 
 
Project Lead Name:
   
 
 
Project Lead Title / Position
   
 
 
Phone : 
* Email Address : 
 
 
Project Information
 
 
 
Project Title:
   
 
 
Department that is making publicity/publications request?
 
 
Department Head / VP / Supervisor:
   
 
 
Who has final approval of publicity/publication request?
   
 
Project Description
Description Date Cost Other
Item 1
Item 2
Item 3
Item 4
Item 5
 
 
Type of communication (select all that apply)?
 
Print
 
Web
 
Social Media
 
Marketing
 
Publicity
 
Video
 
Other
 

 
 
Date needed?  (Please allow min. of 10 business days from date of request)
MonthDayYear
  
 
 
 
Who Is the Target Audience?
   
 
 
 
What do we want the target audience to think? Feel? Say? Do?
   
 
 
 
Is this part of a larger project? If so, please describe the scope of the project briefly.
   
 
 
 
How will you measure the effectiveness of this project, campaign or initiative?
   
 
 
Specific Requirements
 
 
 
Please let us know your requirements for this project. What does this absolutely HAVE to have, i.e. provide exact any text you would like included, photography, address, URL, social media mentions?
   
 
 
If you have documents or pictures that you would like included please use the links on the next page to upload them to this form.
 
 
File 1
 
 
File 2
 
 
File 3
 
 
Budget Information for Request
 
 
 
Budget for publicity / publication
   
 
 
Budget approved and funds authorized?
 
Yes
 
No
 
Unsure
 
 
 
Who authorized use of funds?
   
 
 
Date funds was approved:
MonthDayYear
  
 
Is this publicity/publication request part of a grant award?
 
 
Please note: When you notify us of your news, the Department of Marketing and Communications will determine the appropriate places to publish it. We'll talk with you about your target audience and let you know the means by which we have to reach them.