Media Request Form

Interview Request Form for Media and Class Projects

Lafene Health Center
Kansas State University

1105 Sunset Ave
Manhattan, KS 66502
785-532-7755

If you see this don't fill out this input box.

If you are interested in interviewing a staff member, please complete the form below.

If you are requesting an interview as part of a class project, we recommend submitting this form at least two weeks prior to your deadline to allow for adequate time to schedule with a staff member. We may not be able to accommodate requests made with less than two weeks' notice.

Someone will contact you within 1-2 business days to follow up.

Interview Needed By:*

Name:*

Phone Number:*

Email Address:*

Please mark whether you are a K-State student or not.*

No, not a K-State student

Yes, K-State student

WID (if K-State student):

Other Media:

When are you available? Please note that we are unable to accommodate interview requests outside of our normal business hours.*

Interview Topic (please be specific):*

Interview Questions: Please include all questions you will be asking during the interview.*

If you would like to speak to a representative from a specific department, indicate which one:

Preferred Type of Interview

Additional Comments:

Interview Request Form for Media and Class Projects

Lafene Health CenterKansas State University

1105 Sunset AveManhattan, KS 66502785-532-7755

Lafene Health Center
Kansas State University

1105 Sunset Ave
Manhattan, KS 66502
785-532-7755