College of Medicine Marketing Request
Note: If you're making a request for
changes to an existing website
, please use the
web update request form
. For
clinical trials
, use the
clinical research recruitment materials request form
. All other requests should use this form.
Requestor
Name
Work Email Address
Role
Please select...
Administrator/faculty/staff member
Clinical resident/fellow or postdoctoral fellow
Student
Other
Department
Request
Please describe the event, program or service you wish to market. Be as detailed as you can.
Request Type (check all that apply)
Marketing Strategy Consultation
New Website
News Release/Media Coverage
Paid Advertising
New Marketing Material
Marketing Material Review or Update
General Question/Other
What type of marketing material or support are you seeking?
Please include any relevant files. Use "Add another file" to upload additional items.