Dr. Boyce Watkins Media Request Form
Please fill out this form if your are requesting to do any type of media interview with Dr. Watkins. After you fill out this  request, we will contact Dr. Boyce Watkins availability. The entire form must be filled out in it's entirety.
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Name *
Phone Number *
Email *
Media Outlet Name *
Media outlet foot print. How many people does it reach and where. *
Please post a link to all social media platforms. *
Media Outlet Website *
How will the interview be done? I.e Phone, Zoom, Skype etc..
Type Of Media *
Required
Date Story is posting *
MM
/
DD
/
YYYY
Please include details regarding the story you're working on and specific information or questions for Dr. Boyce Watkins. *
Preferred contact method *
Required
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