Media Inquiries For media inquiries and interview requests for the Student Health Care Center, please fill out the form below. Media Inquiry Form This field is hidden when viewing the formNext Steps: Sync an Email Add-OnTo get the most out of your form, we suggest that you sync this form with an email add-on. To learn more about your email add-on options, visit the following page (https://www.gravityforms.com/the-8-best-email-plugins-for-wordpress-in-2020/). Important: Delete this tip before you publish the form.Contact InformationYour Name(Required) First Last Are you a student reporter?(Required)YesNoPlease note: Email Address(Required) Email Address Confirm Email Address Phone Number(Required)Inquiry InformationWhat type(s) of content are you seeking?(Required) General information/Press release Interview (phone/zoom) Interview (in-person) Photo/Video Other If "other" was selected, please describe:Please describe if this is for a class, publication or other.(Required)ClassPublication (print or digital)OtherPlease provide more details about the publication you are writing for and your role or credentials with the publication.(Required)Story Topic(Required)Deadline (please include date and time)(Required)Interview Questions/Specific Content Needed(Required)Please list the questions you would like to ask or specifics about the information and/or content needed. This will help our departments gather the information quickly.