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 JohnMerryman@cdrewu.edu. Registration will be ended on: Registration will be ended on: 10/5/2018

Today’s Date:   
First Name:  
Last Name:  
Company / Media Outlet / Publication :  
Title/Position:  
Media outlet type:
other (If “other,” describe)
Email:
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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