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❤️ Nonprofit & Community

Free Media Request Form Template

Give journalists one place to pitch interview, data and photo requests — routed to the right staffer with deadline on the record.

one front door
~2 min
deadline on record
Live Preview

Quick answer

Use it as your press front door: journalists state who they are, which story they're working on, what they need — spokesperson, data, photos, comment — and by when, and each request routes to a named staffer with the deadline on the record.

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About this template

Press requests die in inboxes: a journalist emails a generic address, nobody owns it, the deadline passes. This intake gives media one front door — who's asking, for which story, what they need (spokesperson, data, photos, comment), and the deadline — and routes each request to the person who can actually answer it, with the clock visible.

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Live Preview

Sample form preview — live and ready to fill in.

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Fill it in to see how responses flow.
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What's Included

Everything you need to run this template.

1

Structured enquiries

Type, angle and deadline captured as fields, not buried in prose.

2

Right routing

Comms sees all requests and assigns the answerable person.

3

Deadline first

The clock is a headline field, not a footnote found Friday.

4

History attached

Past coverage links give context before anyone speaks.

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How It Works

From copy to deliverable in four steps.

1

Use this template

Copy it in and set request types to your newsroom reality.

2

Publish the press link

Put it on your media page and in every press release footer.

3

Triage the queue

Assign, decline or park — with the deadline sorted.

4

Answer or negotiate

Route the entry to the spokesperson; log outcomes on it.

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Who Is This For

Pick your role — see how it fits your workflow.

1

Communications leads

Stop triaging press from a shared inbox.

2

Spokespeople

Arrive briefed: angle, history, deadline.

3

Journalists

Get a faster yes-or-no than email roulette.

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Key Features

What makes this template work as a professional deliverable.

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Sample Questions Inside

A preview of the real questions in this form — exactly what respondents see.

  1. Outlet and reporter name
  2. Email and phone
  3. What's the story about?
  4. What exactly do you need from us? (spokesperson / data / photos / quote)
  5. Deadline (date and time)
  6. Publication date or embargo
  7. Have you covered us before? (links)
  8. Anything off the record I should know now
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Frequently Asked Questions

What does a journalist actually need from your intake?
Four fields answer 90%: what the story is, what they need from you, by when, and where they've covered you before — the rest is your side of the negotiation.
Is this different from the newsletter sign-up?
Yes. The newsletter builds your audience; this one handles inbound press as an audience of one, on a deadline.
Should embargoes be honored here?
The embargo field flags them; your comms policy decides what they mean — record it on the entry.
Is it free to use?
Yes. Copy it into your FormLM workspace and point your media page at it.
What if the request is hostile?
Angle and prior-coverage fields let comms assess before anyone is exposed; declining is also a logged outcome.
Who answers?
Comms owns routing; the named spokesperson answers — every handoff stays on the entry.

One front door for the press

Angle, ask, deadline, history — routed before the clock runs out.