CSULB Home Student Affairs Counseling and Psychological Services CAPS Media & Interview Request CAPS Media & Interview Request Requestor Name Pronouns If you are a Student, Staff, or Faculty of CSULB, please provide your Campus ID number Requestor Position Class, Organization, or Department Affiliation Email Address, If you are student, staff, or faculty for CSULB, please use your school email. (@csulb.edu or @student.csulb.edu) Telephone Number Please provide the questions you intend to ask during the interview below. If it is more convenient for you, you may also email your interview questions upon submitting this form to caps-outreach@csulb.edu. Submission of interview questions is required for scheduling of interview. Who is your intended audience? How will the interview be used? If this interview is for a class assignment, provide a brief description of the class assignment, the course number and your professor’s email address What interview format do you prefer? Live Interview via Zoom, Teams, etc Interview via email (We will review the interview questions and email you our responses) In Person Interview Preferred Date and Time for Interview If requesting “interview via email” option: when do you need our responses by? Do you need a recording of the interview? Yes, I need a recording No, I do not need a recording Additional Comments
