Media Inquiries
Student Health Center staff and clinicians look forward to every opportunity to engage in dialogue and share our expertise with the University community. However, we remain committed to prioritizing student health and well-being in our effort to provide high-quality, equitable health care.

Media inquiries may be submitted by completing this form. You will receive correspondence indicating whether or not our office can accommodate your request within three business days. In the event we can accommodate your request, we ask that you provide at least one week before a deadline for us to respond. Except in special situations, all SHC interviews are written. Please include as much information as possible with your request. All requests will be considered in the order received. Questions or concerns about this process may be directed to the SHC media contact listed below.

Media Contact
Rebecca Roldan, Director
rebecca.roldan@pepperdine.edu
Sign in to Google to save your progress. Learn more
Full Name *
Organization *
Name of your organization or, if you are a student, please list your professor's name and your course number.
Phone Number *
Email *
Will the story be published/broadcast? *
Where will the story be published/broadcast? *
Write "N/A" if the story will not be published/broadcast.
Topic Area *
This helps us with internal routing for interview requests. Select the area that is the closest match for your topic.
Interview Questions *
Provide your list of questions below. The more detail you provide, the easier it is for us to address your specific questions.
What type of story are your producing? *
Select all that apply.
Required
When is your deadline for completing the interview? *
Please allow for at least one week before your deadline.
MM
/
DD
/
YYYY
Deadline time of day. *
Pacific Time
Time
:
Comments or Additional Information
If you would like to provide any additional information or mention something not captured by the questions above, please write it here.
Important
If you think you are experiencing a medical or psychiatric emergency, call 911 or go to the nearest hospital. Do not attempt to access care by submitting this form.
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Pepperdine University. Report Abuse
Google Forms