Public relations communication request form

Contact Name:
Department:
Contact e-mail:
Contact
telephone:
Date of event and/or deadline: Calendar
Project description:

To best assess your communication needs, please answer the questions below.

What do you want to accomplish with the communication?

Who are the primary audiences this communication needs to reach (select top two)?










What is the single most important message to convey?

Are there points/tasks that may help the communication be more successful? (Example: Certain people that could be quoted, facts that could be included, etc.) :
 

Public relations will assess the request and, within three business days, recommend a communication plan that maximizes the goals outlined above.

Image of Text Type the text on the left
into the space below.

Visual Help...       Why...