EmailMe Form - Media Advisory Request Form

Name of person filling out the form: *

First Last

Affiliation with LHU: *

If other, please explain: *

Name of contact person for event, if different from above:

First Last

*This will be displayed on the advisory when sent to the media

Email address of contact person: *

Phone number of contact person:

### - ### - ####

Faculty and staff contacts - office numbers will be used unless otherwise specified.

*Do not include a phone number if you do not want it published.

Full name of event: *

Do not abbreviate. Use official name if applicable.

Is your event open to the public? *

Yes

No

*Only public events will result in a media advisory. All other events will be publicized internally.

Event date and time:

MM / DD / YYYY HH : MM AM/PM

If there are multiple dates for this event, please list them each separately in the "Event Description" box below.

Is there a RSVP or registration deadline for this event? *

Yes

No

RSVP date/registration deadline: *

MM / DD / YYYY

If applicable

Your event will be held: *

On campus

Off campus

Virtually/Online

On campus event location: *

*Use building and room number if applicable.

Address of off campus event location: *

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region

Zoom link or other appropriate event link: *

Is this event sponsored by a group or organization? *

Yes

No

List sponsoring groups or organizations here: *

Is your event a fundraiser? *

Yes

No

Who will the fundraiser benefit? *

Student group, person, non-profit organization, etc.

Is there a cost to attend your event? *

Yes there is a cost

No, it is free

No, but donations will be accepted

Cost to attend: *

$ Dollars . Cents

Event Description:

*Write out the description for your event - or additional information here - in full-sentence form.

**OR attach your advisory as a separate document below.

Already have your advisory written? Upload it here!

*PREFERRED

**Your advisory will be edited in AP news style before it is sent to the media.

Have an event flyer, poster or image? Upload it here!

Questions? Contact Julie Stellfox at jms833@lockhaven.edu

*Media advisories sent to local media outlets for publication also will be emailed to the contact person on this form.

**There is no guarantee if/when your advisory will be published by the media once it is sent to them. For questions about publication, please contact the media outlets directly.