Thank you for your interest in completing JAD media credential application at Charles Drew University. If you have any questions regarding the event date, time and location please email Registration will be ended on: Registration will be ended on: 10/5/2018

Today’s Date:   
First Name:  
Last Name:  
Company / Media Outlet / Publication :  
Media outlet type:
other (If “other,” describe)
Website URL:
Twitter handle:
Work address:
Editor/producer name:
Editor/producer email:
Editor/Producer phone:
Type of coverage you plan to provide:
Please provide links to any of your recent articles (direct links, not simply to the outlet website):
Date your coverage will appear

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