{"id":2752,"date":"2026-05-19T16:49:37","date_gmt":"2026-05-19T20:49:37","guid":{"rendered":"https:\/\/www.adelphi.edu\/brand\/?page_id=2752"},"modified":"2026-05-19T16:58:34","modified_gmt":"2026-05-19T20:58:34","slug":"support-request","status":"publish","type":"page","link":"https:\/\/www.adelphi.edu\/brand\/media-relations\/support-request\/","title":{"rendered":"Support Request"},"content":{"rendered":"<script type=\"text\/javascript\">\n\/* <![CDATA[ *\/\nvar gform;gform||(document.addEventListener(\"gform_main_scripts_loaded\",function(){gform.scriptsLoaded=!0}),document.addEventListener(\"gform\/theme\/scripts_loaded\",function(){gform.themeScriptsLoaded=!0}),window.addEventListener(\"DOMContentLoaded\",function(){gform.domLoaded=!0}),gform={domLoaded:!1,scriptsLoaded:!1,themeScriptsLoaded:!1,isFormEditor:()=>\"function\"==typeof 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data-form-theme='gravity-theme' data-form-index='0' id='gform_wrapper_17' style='display:none'>\n                        <div class='gform_heading'>\n                            <h2 class=\"gform_title\">Submit Your Media Inquiry<\/h2>\n                            <p class='gform_description'>Submit your request and Adelphi University\u2019s Media Relations team will review your submission promptly and follow up based on urgency and need.<\/p>\n                        <\/div><form method='post' enctype='multipart\/form-data'  id='gform_17'  action='\/brand\/wp-json\/wp\/v2\/pages\/2752' data-formid='17' novalidate><input type=\"hidden\" name=\"adelphi_gf_data\" value=\"1:local-da897588964f31fd83cd6488a4e6ec64:1779254419\"><input type=\"hidden\" name=\"adelphi_gf_hmac\" value=\"620a3dc17a0cc5e3bde41b2c82f41285755a9a53c0db5cf568d81f7c511a4ade\">\n                        <div class='gform-body gform_body'><div id='gform_fields_17' class='gform_fields top_label form_sublabel_above description_above validation_below'><div id=\"field_17_10\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">About You<\/h3><\/div><fieldset id=\"field_17_5\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Who are you?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_17_5'>\n\t\t\t<div class='gchoice gchoice_17_5_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_5' type='radio' value='Adelphi faculty'  id='choice_17_5_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_17_5_0' id='label_17_5_0' class='gform-field-label gform-field-label--type-inline'>Adelphi faculty<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_17_5_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_5' type='radio' value='Adelphi staff'  id='choice_17_5_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_17_5_1' id='label_17_5_1' class='gform-field-label gform-field-label--type-inline'>Adelphi staff<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_17_5_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_5' type='radio' value='Adelphi student'  id='choice_17_5_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_17_5_2' id='label_17_5_2' class='gform-field-label gform-field-label--type-inline'>Adelphi student<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_17_5_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_5' type='radio' value='Adelphi student journalist (The Delphian)'  id='choice_17_5_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_17_5_3' id='label_17_5_3' class='gform-field-label gform-field-label--type-inline'>Adelphi student journalist (The Delphian)<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_17_5_4'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_5' type='radio' value='Journalist\/media outlet'  id='choice_17_5_4' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_17_5_4' id='label_17_5_4' class='gform-field-label gform-field-label--type-inline'>Journalist\/media outlet<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_17_5_5'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_5' type='radio' value='Alum or donor'  id='choice_17_5_5' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_17_5_5' id='label_17_5_5' class='gform-field-label gform-field-label--type-inline'>Alum or donor<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_17_5_6'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_5' type='radio' value='Community partner\/organization'  id='choice_17_5_6' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_17_5_6' id='label_17_5_6' class='gform-field-label gform-field-label--type-inline'>Community partner\/organization<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_17_11\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">How Can We Help?<\/h3><\/div><fieldset id=\"field_17_7\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Type of Request<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_17_7'>\n\t\t\t<div class='gchoice gchoice_17_7_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_7' type='radio' value='Reporter contacted me'  id='choice_17_7_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_17_7_0' id='label_17_7_0' class='gform-field-label gform-field-label--type-inline'>Reporter contacted me<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_17_7_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_7' type='radio' value='Promote a story or achievement'  id='choice_17_7_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_17_7_1' id='label_17_7_1' class='gform-field-label gform-field-label--type-inline'>Promote a story or achievement<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_17_7_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_7' type='radio' value='Publicize an event with media potential'  id='choice_17_7_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_17_7_2' id='label_17_7_2' class='gform-field-label gform-field-label--type-inline'>Publicize an event with media potential<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_17_7_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_7' type='radio' value='Media coaching\/interview prep'  id='choice_17_7_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_17_7_3' id='label_17_7_3' class='gform-field-label gform-field-label--type-inline'>Media coaching\/interview prep<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_17_7_4'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_7' type='radio' value='Offer expertise to Adelphi media opportunities'  id='choice_17_7_4' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_17_7_4' id='label_17_7_4' class='gform-field-label gform-field-label--type-inline'>Offer expertise to Adelphi media opportunities<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_17_7_5'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_7' type='radio' value='Other request'  id='choice_17_7_5' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_17_7_5' id='label_17_7_5' class='gform-field-label gform-field-label--type-inline'>Other request<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_17_13\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Type of Request<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_17_13'>\n\t\t\t<div class='gchoice gchoice_17_13_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_13' type='radio' value='Share a story opportunity'  id='choice_17_13_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_17_13_0' id='label_17_13_0' class='gform-field-label gform-field-label--type-inline'>Share a story opportunity<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_17_13_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_13' type='radio' value='Request subject matter expertise'  id='choice_17_13_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_17_13_1' id='label_17_13_1' class='gform-field-label gform-field-label--type-inline'>Request subject matter expertise<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_17_13_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_13' type='radio' value='Offer subject matter expertise'  id='choice_17_13_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_17_13_2' id='label_17_13_2' class='gform-field-label gform-field-label--type-inline'>Offer subject matter expertise<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_17_13_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_13' type='radio' value='Event or media partnership'  id='choice_17_13_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_17_13_3' id='label_17_13_3' class='gform-field-label gform-field-label--type-inline'>Event or media partnership<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_17_13_4'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_13' type='radio' value='Speaking request'  id='choice_17_13_4' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_17_13_4' id='label_17_13_4' class='gform-field-label gform-field-label--type-inline'>Speaking request<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_17_13_5'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_13' type='radio' value='General inquiry'  id='choice_17_13_5' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_17_13_5' id='label_17_13_5' class='gform-field-label gform-field-label--type-inline'>General inquiry<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_17_13_6'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_13' type='radio' value='Other request'  id='choice_17_13_6' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_17_13_6' id='label_17_13_6' class='gform-field-label gform-field-label--type-inline'>Other request<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_17_12\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Type of Request<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_17_12'>\n\t\t\t<div class='gchoice gchoice_17_12_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_12' type='radio' value='Interview request'  id='choice_17_12_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_17_12_0' id='label_17_12_0' class='gform-field-label gform-field-label--type-inline'>Interview request<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_17_12_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_12' type='radio' value='Expert source request'  id='choice_17_12_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_17_12_1' id='label_17_12_1' class='gform-field-label gform-field-label--type-inline'>Expert source request<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_17_12_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_12' type='radio' value='Comment on a current news issue'  id='choice_17_12_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_17_12_2' id='label_17_12_2' class='gform-field-label gform-field-label--type-inline'>Comment on a current news issue<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_17_12_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_12' type='radio' value='Campus visit or filming request'  id='choice_17_12_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_17_12_3' id='label_17_12_3' class='gform-field-label gform-field-label--type-inline'>Campus visit or filming request<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_17_12_4'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_12' type='radio' value='Fact verification'  id='choice_17_12_4' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_17_12_4' id='label_17_12_4' class='gform-field-label gform-field-label--type-inline'>Fact verification<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_17_12_5'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_12' type='radio' value='Other request'  id='choice_17_12_5' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_17_12_5' id='label_17_12_5' class='gform-field-label gform-field-label--type-inline'>Other request<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_17_14\" class=\"gfield gfield--type-textarea gfield--input-type-textarea gfield--width-full gfield_contains_required field_sublabel_above gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_17_14'>Request Details<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='gfield_description' id='gfield_description_17_14'>Two weeks\u2019 notice is required for event publicity, press releases, or media invitations. Include deadlines, dates, details and your intended audience.<\/div><div class='ginput_container ginput_container_textarea'><textarea name='input_14' id='input_17_14' class='textarea large'  aria-describedby=\"gfield_description_17_14\"   aria-required=\"true\" aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><div id=\"field_17_34\" class=\"gfield gfield--type-textarea gfield--input-type-textarea gfield--width-full gfield_contains_required field_sublabel_above gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_17_34'>Request Details<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='gfield_description' id='gfield_description_17_34'>Describe your story, topic, the type of expert or spokesperson you\u2019re seeking and\/or any specific questions or angles you\u2019re exploring.<\/div><div class='ginput_container ginput_container_textarea'><textarea name='input_34' id='input_17_34' class='textarea large'  aria-describedby=\"gfield_description_17_34\"   aria-required=\"true\" aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><div id=\"field_17_28\" class=\"gfield gfield--type-textarea gfield--input-type-textarea gfield--width-full gfield_contains_required field_sublabel_above gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_17_28'>Request Details<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='gfield_description' id='gfield_description_17_28'>Tell us what\u2019s happening and how Media Relations can help. Include relevant details and context.<\/div><div class='ginput_container ginput_container_textarea'><textarea name='input_28' id='input_17_28' class='textarea large'  aria-describedby=\"gfield_description_17_28\"   aria-required=\"true\" aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><div id=\"field_17_15\" class=\"gfield gfield--type-fileupload gfield--input-type-fileupload gfield--width-full field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='gform_browse_button_17_15'>File Upload<\/label><div class='ginput_container ginput_container_fileupload'><div id='gform_multifile_upload_17_15' data-settings='{&quot;runtimes&quot;:&quot;html5,flash,html4&quot;,&quot;browse_button&quot;:&quot;gform_browse_button_17_15&quot;,&quot;container&quot;:&quot;gform_multifile_upload_17_15&quot;,&quot;drop_element&quot;:&quot;gform_drag_drop_area_17_15&quot;,&quot;filelist&quot;:&quot;gform_preview_17_15&quot;,&quot;unique_names&quot;:true,&quot;file_data_name&quot;:&quot;file&quot;,&quot;url&quot;:&quot;https:\\\/\\\/www.adelphi.edu\\\/brand\\\/?gf_page=75079dee9911dce&quot;,&quot;flash_swf_url&quot;:&quot;https:\\\/\\\/www.adelphi.edu\\\/brand\\\/wp-includes\\\/js\\\/plupload\\\/plupload.flash.swf&quot;,&quot;silverlight_xap_url&quot;:&quot;https:\\\/\\\/www.adelphi.edu\\\/brand\\\/wp-includes\\\/js\\\/plupload\\\/plupload.silverlight.xap&quot;,&quot;filters&quot;:{&quot;mime_types&quot;:[{&quot;title&quot;:&quot;Allowed Files&quot;,&quot;extensions&quot;:&quot;jpg,png,pdf,doc&quot;}],&quot;max_file_size&quot;:&quot;204800000b&quot;},&quot;multipart&quot;:true,&quot;urlstream_upload&quot;:false,&quot;multipart_params&quot;:{&quot;form_id&quot;:17,&quot;field_id&quot;:15},&quot;gf_vars&quot;:{&quot;max_files&quot;:0,&quot;message_id&quot;:&quot;gform_multifile_messages_17_15&quot;,&quot;disallowed_extensions&quot;:[&quot;php&quot;,&quot;asp&quot;,&quot;aspx&quot;,&quot;cmd&quot;,&quot;csh&quot;,&quot;bat&quot;,&quot;html&quot;,&quot;htm&quot;,&quot;hta&quot;,&quot;jar&quot;,&quot;exe&quot;,&quot;com&quot;,&quot;js&quot;,&quot;lnk&quot;,&quot;htaccess&quot;,&quot;phtml&quot;,&quot;ps1&quot;,&quot;ps2&quot;,&quot;php3&quot;,&quot;php4&quot;,&quot;php5&quot;,&quot;php6&quot;,&quot;py&quot;,&quot;rb&quot;,&quot;tmp&quot;]}}' class='gform_fileupload_multifile'>\n\t\t\t\t\t\t\t\t\t\t<div id='gform_drag_drop_area_17_15' class='gform_drop_area gform-theme-field-control'>\n\t\t\t\t\t\t\t\t\t\t\t<span class='gform_drop_instructions'>Drop files here or <\/span>\n\t\t\t\t\t\t\t\t\t\t\t<button type='button' id='gform_browse_button_17_15' class='button gform_button_select_files gform-theme-button gform-theme-button--control' aria-describedby=\"gfield_upload_rules_17_15\"  >Select files<\/button>\n\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<\/div><span class='gfield_description gform_fileupload_rules' id='gfield_upload_rules_17_15'>Accepted file types: jpg, png, pdf, doc, Max. file size: 195 MB.<\/span><ul class='validation_message--hidden-on-empty gform-ul-reset' id='gform_multifile_messages_17_15'><\/ul> <!-- Leave <ul> empty to support CSS :empty selector. --><\/div><div id='gform_preview_17_15' class='ginput_preview_list'><\/div><\/div><div id=\"field_17_29\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full field_sublabel_above gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_17_29'>Expert Preference<\/label><div class='gfield_description' id='gfield_description_17_29'>Do you have a specific Adelphi expert in mind?<\/div><div class='ginput_container ginput_container_text'><input name='input_29' id='input_17_29' type='text' value='' class='large'  aria-describedby=\"gfield_description_17_29\"    aria-invalid=\"false\"   \/><\/div><\/div><fieldset id=\"field_17_24\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Timeline<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_17_24'>\n\t\t\t<div class='gchoice gchoice_17_24_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_24' type='radio' value='Urgent (same day)'  id='choice_17_24_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_17_24_0' id='label_17_24_0' class='gform-field-label gform-field-label--type-inline'>Urgent (same day)<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_17_24_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_24' type='radio' value='Within 24 hours'  id='choice_17_24_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_17_24_1' id='label_17_24_1' class='gform-field-label gform-field-label--type-inline'>Within 24 hours<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_17_24_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_24' type='radio' value='This week'  id='choice_17_24_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_17_24_2' id='label_17_24_2' class='gform-field-label gform-field-label--type-inline'>This week<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_17_24_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_24' type='radio' value='Within 2 weeks'  id='choice_17_24_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_17_24_3' id='label_17_24_3' class='gform-field-label gform-field-label--type-inline'>Within 2 weeks<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_17_24_4'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_24' type='radio' value='Planning ahead \/ no immediate deadline'  id='choice_17_24_4' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_17_24_4' id='label_17_24_4' class='gform-field-label gform-field-label--type-inline'>Planning ahead \/ no immediate deadline<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_17_30\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Is this urgent?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_17_30'>\n\t\t\t<div class='gchoice gchoice_17_30_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_30' type='radio' value='Yes'  id='choice_17_30_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_17_30_0' id='label_17_30_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_17_30_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_30' type='radio' value='No'  id='choice_17_30_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_17_30_1' id='label_17_30_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_17_31\" class=\"gfield gfield--type-date gfield--input-type-date gfield--input-type-datefield gfield--width-half field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Deadline Date<\/legend><div id='input_17_31' class='ginput_container ginput_complex gform-grid-row'><div class='gfield_date_month ginput_container ginput_container_date gform-grid-col' id='input_17_31_1_container'>\n                                            <label for='input_17_31_1' class='gform-field-label gform-field-label--type-sub screen-reader-text'>Month<\/label>\n                                            <input type='number' maxlength='2' name='input_31[]' id='input_17_31_1' value=''   aria-required='false'   placeholder='MM' min='1' max='12' step='1'\/>\n                                        <\/div><div class='gfield_date_day ginput_container ginput_container_date gform-grid-col' id='input_17_31_2_container'>\n                                            <label for='input_17_31_2' class='gform-field-label gform-field-label--type-sub screen-reader-text'>Day<\/label>\n                                            <input type='number' maxlength='2' name='input_31[]' id='input_17_31_2' value=''   aria-required='false'   placeholder='DD' min='1' max='31' step='1'\/>\n                                        <\/div><div class='gfield_date_year ginput_container ginput_container_date gform-grid-col' id='input_17_31_3_container'>\n                                            <label for='input_17_31_3' class='gform-field-label gform-field-label--type-sub screen-reader-text'>Year<\/label>\n                                            <input type='number' maxlength='4' name='input_31[]' id='input_17_31_3' value=''   aria-required='false'   placeholder='YYYY' min='1920' max='2027' step='1'\/>\n                                       <\/div>\n                                   <\/div><\/fieldset><fieldset id=\"field_17_32\" class=\"gfield gfield--type-time gfield--input-type-time gfield--width-half field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Deadline Time<\/legend><div class=\"ginput_container ginput_complex gform-grid-row\">\n                        <div class='gfield_time_hour ginput_container ginput_container_time gform-grid-col' id='input_17_32'>\n                            <label class='gform-field-label gform-field-label--type-sub hour_label screen-reader-text' for='input_17_32_1'>Hours<\/label>\n                            <input type='number' maxlength='2' name='input_32[]' id='input_17_32_1' value=''  min='0' max='12' step='1'  placeholder='HH' aria-required='false'   \/> \n                        <\/div>\n                        <div class=\"below hour_minute_colon gform-grid-col\">:<\/div>\n                        <div class='gfield_time_minute ginput_container ginput_container_time gform-grid-col'>\n                            <label class='gform-field-label gform-field-label--type-sub minute_label screen-reader-text' for='input_17_32_2'>Minutes<\/label>\n                            <input type='number' maxlength='2' name='input_32[]' id='input_17_32_2' value=''  min='0' max='59' step='1'  placeholder='MM' aria-required='false'  \/>\n                        <\/div>\n                        <div class='gfield_time_ampm ginput_container ginput_container_time below gform-grid-col' >\n                                \n                                <select name='input_32[]' id='input_17_32_3'  >\n                                    <option value='am' >AM<\/option>\n                                    <option value='pm' >PM<\/option>\n                                <\/select> \n                                <label class='gform-field-label gform-field-label--type-sub am_pm_label screen-reader-text' for='input_17_32_3'>AM\/PM<\/label>                                \n                           <\/div>\n                    <\/div><\/fieldset><div id=\"field_17_16\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">Your Contact Information<\/h3><\/div><fieldset id=\"field_17_17\" class=\"gfield gfield--type-name gfield--input-type-name gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Name<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_complex ginput_container ginput_container--name no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name gform-grid-row' id='input_17_17'>\n                            \n                            <span id='input_17_17_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <label for='input_17_17_3' class='gform-field-label gform-field-label--type-sub '>First<\/label>\n                                                    <input type='text' name='input_17.3' id='input_17_17_3' value=''   aria-required='true'     \/>\n                                                <\/span>\n                            \n                            <span id='input_17_17_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                            <label for='input_17_17_6' class='gform-field-label gform-field-label--type-sub '>Last<\/label>\n                                                            <input type='text' name='input_17.6' id='input_17_17_6' value=''   aria-required='true'     \/>\n                                                        <\/span>\n                            \n                        <\/div><\/fieldset><div id=\"field_17_19\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_17_19'>Department, School\/College or Office<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_19' id='input_17_19' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_17_18\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_17_18'>Role \/ title<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_18' id='input_17_18' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_17_20\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_17_20'>Media outlet<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_20' id='input_17_20' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_17_21\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_17_21'>Role \/ title<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_21' id='input_17_21' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_17_33\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_17_33'>Role \/ title<\/label><div class='ginput_container ginput_container_text'><input name='input_33' id='input_17_33' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_17_22\" class=\"gfield gfield--type-email gfield--input-type-email gfield--width-half gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_17_22'>Email<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_email'>\n                            <input name='input_22' id='input_17_22' type='email' value='' class='large'    aria-required=\"true\" aria-invalid=\"false\"  \/>\n                        <\/div><\/div><div id=\"field_17_23\" class=\"gfield gfield--type-phone gfield--input-type-phone gfield--width-half gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_17_23'>Phone<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_phone'><input name='input_23' id='input_17_23' type='tel' value='' class='large'   aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_17_3\" class=\"gfield gfield--type-captcha gfield--input-type-captcha field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_17_3'>CAPTCHA<\/label><div id='input_17_3' class='ginput_container ginput_recaptcha' data-sitekey='6LexzgYUAAAAAG6hKKKgKWpKgPS5REIB3KMCQ1WA'  data-theme='light' data-tabindex='0'  data-badge=''><\/div><\/div><\/div><\/div>\n        <div class='gform-footer gform_footer top_label'> <input type='submit' id='gform_submit_button_17' class='gform_button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='submit' value='Submit'  \/> \n            <input type='hidden' class='gform_hidden' name='gform_submission_method' data-js='gform_submission_method_17' value='postback' \/>\n            <input type='hidden' class='gform_hidden' name='gform_theme' data-js='gform_theme_17' id='gform_theme_17' value='gravity-theme' \/>\n            <input type='hidden' class='gform_hidden' name='gform_style_settings' data-js='gform_style_settings_17' id='gform_style_settings_17' value='[]' \/>\n            <input type='hidden' class='gform_hidden' name='is_submit_17' value='1' \/>\n            <input type='hidden' class='gform_hidden' name='gform_submit' value='17' \/>\n            \n            <input type='hidden' class='gform_hidden' name='gform_unique_id' value='' \/>\n            <input type='hidden' class='gform_hidden' name='state_17' 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