NCARW Media Request FormThanks for contacting NCARW with your media request. Please answer the following questions so that we may promptly respond to your request. * Indicates where answer is required (RAMW Form) Organization Email(Required) Publication/ News Outlet(Required) How much time is needed for the interview?(Required) Estimated publication/ air date(Required) Contact Name First Last Contact Title Contact Email Contact PhoneLocation and Reach of Publication Social Media handles Specific Show/ Program/ SectionType of Interview(Required) Deadline(Required) MM slash DD slash YYYY Who would you like to interview?(Required)What is your availability to conduct the interview?(Required)Questions/ Discussion Topic(Required)Additional Comments(Required)