Today's Date
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Month
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Day
Year
Department
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Project Owner's Name
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First Name
Last Name
Phone Number
E-mail
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Project Title
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Use a few sentences to describe your project
Final Due Date
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Month
-
Day
Year
If applicable, do you have a manager or department needing to approve this request? If so, who?
If applicable, which office or lab will be billed for this project?
Billing is only applicable to print collateral requests and some event and photo requests.
Project Budget
Is this a press release request?
*
Yes
No
Subject of press release: paper or grant titles, award name, etc.
Who should be interviewed for this release?
Who will need to approve the release text?
Will any funding agencies or study collaborators need to be consulted?
If this is embargoed news, when will the embargo lift?
Any additional info regarding your press release?
Is this a photography request?
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Yes
No
Please give three dates you and/or your team are available to have your photo taken.
Date #1
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Month
-
Day
Year
Date #2
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Month
-
Day
Year
Date #3
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Month
-
Day
Year
Is this a portrait photo/headshot or candid "in lab" photo?
Portrait/Headshot
Candid, "in lab"
When is the final photo file needed by?
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Month
-
Day
Year
Is this a print collateral request?
*
Yes
No
Is writing support requested?
(Describe)
If not, who will provide written text?
(Describe)
What print collateral is needed?
(Describe)
Delivery Type
Email Digital File
Ship Finished Printed Materials
Is this a digital collateral request?
*
Yes
No
What digital service is being requested?
(Describe)
Is writing support requested?
(Describe)
If not, who will provide written text?
(Describe)
Any additional info regarding your digital request?
Is this for an event?
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Yes
No
Name of Event
Date of Event
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Month
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Day
Year
Time of Event
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2
3
4
5
6
7
8
9
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11
12
:
Hour
00
10
20
30
40
50
Minutes
AM
PM
AM/PM Option
Speakers at the event?
Presentation Title
Is this part of a series?
Yes
No
Host Name
Is the event open to the public?
Yes
No
List any additional support requests
Is this a philanthropy request?
*
Yes
No
What is your philanthropy need?
Who is your prospective donor?
Submit Request
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