2. 
4. Media Inqury Tracking Form

   Please report all immediate/urgent media-related questions/inquires/concerns to your manager / supervisor AND to Andrea Hawkins (214.670.4678 / andrea.hawkins@dallascityhall.com)

   
   Use form to report the following: 

   1. Media inquiries / requests you receive 
   2. Contacts you / your facility pursue with area media outlets/reporters, editors, etc.
   3. Contacts pursued on your behalf by partner organizations
   4. Planned  /unexpected media visits
   5. Published / broadcast news stories
   6. Any media-related activity
8. Today's Date*
   Today's Date
9. Division*
   -- Select One --Recreation Services / VECEPark Maintenance and OperationsPlanning & Design AdministrationStrategic Partnerships and Iniatives
10. Work site*
12. Contact Name:*
13. Contact Phone Number: *
14. Contact Email Address: *
18. Media Inquiries
20. Have you been contacted by the Media? *

    1. Yes
    2. No
22. Date & Time of Media Inquiry*
    Date & Time of Media Inquiry

    Date & Time of Media Inquiry
23. Requester's Name*
24. Type of Media*

    Online, Print, Radio, TV, Other (please specify)

26. Requester's Email Address*
27. Requester's Phone Number *
28. Media Outlet / Affiliation*
30. Media Role*

    Reporter, Editor, News Director, Producer, Promotion/Marketing Manager, etc.

31. Media Deadline
    Media Deadline

    Media Deadline
32. Date the story will run
    Date the story will run

    Date the story will run
34. Describe Media Inquiry / Your Response*
36. Story Link / Location

    Insert the link to where the story can be found.

40. Have you pursued contact with media outlets?*

    1. Yes
    2. No
42. Contact Date*
    Contact Date

    Contact Date

    Please list the date and time you pursued contact with any media outlets.

43. Contact Name*

    Who did you contact?

45. Contact Department / Company*
46. Request Status*
Leave This Blank:


48. 1. Receive an email copy of this form.
49. Email address

    This field is not part of the form submission.

50. Submit Submit and Print

* indicates a required field