Central State University
Office of University Public Relations

1400 Brush Row Road
Wilberforce Ohio 45384
937-376-6198 or 937-376-6216

In order to fulfill your request, this form must be submitted no less than three weeks in advance of the event.

Today's date (mm/dd/yyyy)
Point of Contact
Name of the event
Date of the event (mm/dd/yyyy)
Department Name

Describe the event/news item. Include the who, what, when, why and how:

Target audience(s)

Type of coverage desired. Check all that apply.

Advance media advisory
Release after-the-fact
On-the-spot coverage by local media
Public service announcement
Listing (ie. Inductees, award winners)
Student hometown news release
Campus Digital Signage


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