Media Interview Request

Media Interview Request

Thank you for taking the time to complete this form as part of Zeitz MOCAA's standard media protocols. Your submission is subject to review in line with the museum's due diligence processes, and submission does not constitute approval.
Requester

Details of the person and their affiliation making the request.
Full Name

First NameLast Name
Media House / Agency
Requester's Job Title
Eg. Editor, Journalist, PR Officer, etc.
Email Address
example@example.com
Mobile Number

=00 00000 000 0000
Media

Details of the media house set to conduct the interview.
Media House
About the Media House
Interviewer
Name

First NameLast Name
Interviewer's Job Title
Eg. Editor, Journalist, Content Producer, etc.
Email Address
example@example.com
Mobile Number

+00 00000 000 0000
About the Interviewer
Media Type

Other
Interview Details
Interview Topic
Please provide some context to the interview
Is this a feature story?

Other
What will be the length or duration of the final packaged content?
Where will this piece be published?
When will this piece be published?
Will anyone else be interviewed for this piece?
If yes, who else will be interviewed?
Interview Questions / Talking Points
Interviewee/s
Zeitz MOCAA spokesperson/s requested
Interview Format
Proposed date/s and time/s for the interview
Film / Photo Shoot

If coupled with a film or photo shoot, please provide details.
Please note that the Communication and PR Office facilitates non-commercial media and content production filming and photography only.

Please peruse our standard Photography & Filming Guidelines.

For all commercial and personal film and photo shoots, please contact our Events team at filmshoots@zeitzmocaa.museum.
Shot List
Crew
Names and roles of crew members
Comments
Should be Empty:

Media Interview Request

Requester

Media

Interview Details

Film / Photo Shoot