Missouri Baptist University

Faculty and Staff should use this form to notify University Communications of any media contacts immediately as they are made.

Journalist's Name:
Media Affiliation/Company:
Contact Info:

Time of Contact (day/time):
Subject of Contact:

I wish to contact them, please confirm.
Please have University Communications staff reply.
Other:

Background/Additional Info:

Name:
Department:
Phone:
E-mail:

Footer
© 2008 Missouri Baptist University | One College Park Dr. | Saint Louis, MO | 63141-8698
(314) 434-1115 | (877) 434-1115 | fax: (314) 434-7596
www.mobap.edu/fs/media.asp