publicity request
Publicity assistance is determined by the overall significance of the event to the university, the general public and the timeliness of the
request. Return completed form at least four weeks before the event to the Office of Communications, Bayou Building, Suite 2519, Box
199. Events requiring substantial mailing costs require an account number to cover postage. For additional information, call Ext. 2015.
Requested By
Office/Organization: _______________________________________ Today's Date: ________________________________
Project Coordinator: ________________________________________ Coordinator's Title: ____________________________
UHCL Box No.: _______________ UHCL Ext.: _________________ Home Phone: ________________________________
Signature of Dean/Associate Dean/Director/Faculty Adviser: _____________________________________________________
Account Number (postage) _______________________________________________________________________________
Event Description
Name of Event:________________________________________________________________________________________
____________________________________________________________________________________________________
Description of Event: ___________________________________________________________________________________
____________________________________________________________________________________________________
____________________________________________________________________________________________________
Date(s) of Event: ___________________________________________Time(s) of Event: _____________________________
Specific Location(s) of Event: _____________________________________________________________________________
____________________________________________________________________________________________________
Cost of Event (ticket prices, conference fees, etc.): _____________________________________________________________
Intended Audience:_____________________________________________________________________________________
____________________________________________________________________________________________________
Additional Information (attach pertinent fliers, brochures, etc.): ___________________________________________________
____________________________________________________________________________________________________
____________________________________________________________________________________________________
Office of Communications Use
Consultation Date:_______________________With: ____________________________________________________________________
Action:
r
News Release
r
Egret
r
Calendar Listing
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Bravo! / Good News
r
Other ____________________________________________________________________________________
Signature:_________________________________________________________________ Date: _________________________________