Interview Request

Request for information should be made at least 1 week prior to deadline date.

Full Name:
E-mail:
Health Topic:
Description of how information will be used: Academic Paper
KUST Radio Spot
Power Point Presentation
Tommie Media
Video
Other (please specify below)
Other:
List of Questions of Information needed:
Information needed for: Course (List below-course number, course title, professor, number of students in course)
KUST Radio Spot (List below-date of program)
Student Club or Organization (List below-club name, number of students in the club)
Tommie Media
Specific Information on what's needed:
Deadline for Information:
Date/Time Preference 1
Date/Time Preference 2
Date/Time Preference 3
Will the interview be video taped: Yes
No