Public Affairs Media Request Form
Public Affairs Media Request Form
Please complete this form to request interviews or answers to written questions from FCPS staff.
Media Outlet
*
Name of Reporter
Name of Reporter
*
First
Last
Phone Number
Phone Number
*
-
###
-
###
####
Email Address
*
Topic of Story
*
Date and time of deadline (Please do not put ASAP):
*
Requested Interviewee(s) and/or written questions:
*
Format of interview (virtual, in-person, live or recorded, phone, written, etc.):
*
Any other details regarding request: