Division B

Please complete the form below. Required fields marked with an asterisk *

Please submit one week prior to the event. Staff may not seek independent media coverage.

The school administrator must submit this request.

If you have any questions, please email [email protected]

School/Department:*

Answer required for "School/Department:"

Name of Event : *

Answer required for "Name of Event :\t"

Location of Event: *

Answer required for "Location of Event:\t"

Synopsis of Event: *

Answer required for "Synopsis of Event:\t"

Category*

Answer required for "Category"

Innovative Program

Human Interest

Athletic

Student

Academic Progress

Teacher

Other:

Type of Media Coverage*

Answer required for "Type of Media Coverage"

T.V. News Media

District

Newspaper

JCETV (Channel Comcast 97/Verizon 43)

Newspaper And Photographer

Liberty Lines Newsletter

Enter date of the event here:*

Answer required for "Enter date of the event here:"

Name of the Principal approving the request:*

Answer required for "Name of the Principal approving the request:"

Please submit email address here:*

Answer required for "Please submit email address here:"

Please fix the highlighted areas below before submitting.