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CPSD Media Request Form
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Email
*
Your email
Name of Media Outlet
Your answer
Requester's Full Name
Your answer
Requester's Title
Your answer
Phone Number
Your answer
Email Address
Your answer
Brief description of request
Your answer
Desired Date of Interview
MM
/
DD
/
YYYY
Desired Campus
Clinton Park (PreK-1st)
Northside (2nd-3rd)
Eastside (4th-5th)
Lovett (6th)
CJHS (7th-8th)
Sumner Hill (9th)
CHS (10th-12th)
Other:
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