Media Request Form

Media Request Form
Note: all requests will be reviewed for staff availability, and you will be contacted to either confirm or decline your request. Requests should be made at least 14 days in advance; requests made with less than 14 days notice will be made at the discretion of the department based on staff availability.

If you have immediate questions, please contact:
- University Television: UTV@wiu.edu
- Photography & Design Production: PDP@wiu.edu
- University Communications & Marketing: U-Communications@wiu.edu
Your Name*

First NameLast Name
Email*
example@example.com
Phone Number*
Please enter a valid phone number.
Are you a Western Illinois University employee?*

YesNo
Title
Work Department
Please select the service(s) you need*

VideoPhotographyPress release/news featureGraphic design/print submission

Submit
Do you have any additional information to provide on this request, or questions we can help answer?
Should be Empty: