Nonprofit Media and Press Inquiry Form — Form Fields
This nonprofit template includes 9 fields. Allow journalists, bloggers, and media professionals to submit press or interview inquiries to your nonprofit. Free to customize and use on ZenBuild.
Reporter or Blogger Name (text, required)
Email Address (email, required)
Phone Number (text, required)
Media Outlet or Publication (text, required)
Type of Inquiry (dropdown selection, required) — options: Interview Request, Comment on News Story, Story Pitch, Press Release Follow-Up, Photo/Video Request, Podcast Guest, Other
Describe your inquiry and what you are reporting on (long text, required)
Deadline (text, required)
Would you like to schedule a media briefing? (multiple choice, required) — options: Yes, No
Specific questions you plan to ask (long text, optional)