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Email Submission Form

Name:
Title:
Email:
Office Phone:     Home Phone (Optional): 

The Public Information Office frequently receives requests from the media for various experts. If we receive a call, are you willing to serve as a Penn State Schuylkill media expert? If so, please list from one to five (or more) specialty areas that you feel comfortable addressing:

Specialty  Area #1  
Specialty Area #2
Specialty Area #3
Specialty Area #4   
Specialty Area #5  

The Public Information Office at times receives a request from the media and the community for assistance with a language other than English. Would you be able to assist? If so, in what language(s)?

I understand that the return of this form guarantees a listing of my name, title, e-mail address, and telephone number in the printed edition as well as the web-based Penn State Schuylkill Faculty Experts Media Guide

 

 

After clicking on Submit, your request is emailed to the Public Information Office .   To submit a second request, hit reset.

 

 

PDF Form
(Print out and return place in inter-campus mail)