Marketing & Communications Request Form 1. First Name 2. Last Name 3. Cal Poly Email 4. Phone # 5. Your Department (if applicable, select multiple departments you belong to) CENG Dean's Office CENG Development Aerospace Engineering Biomedical Engineering Civil Engineering Computer Engineering Computer Science Electrical Engineering Environmental Engineering Engineering Management Fire Protection Engineering General Engineering Industrial Engineering Materials Engineering Mechanical Engineering Manufacturing Engineering Software Engineering Architectural Engineering Bioresource & Agricultural Engineering Engineering Student Services Liberal Arts & Engineering Noyce School for Applied Sciences 6. Deadline (When do you need your project completed?) 7. Criteria for output request (who will this go to?) if applicable for mailing and email. 8. What marketing or communication item are you requesting (if applicable, please provide an example of what you are currently using): 9. How will this be used? Digital Display (Televisions) Print Only Digital Only Print and Digital Other 10. Estimated quantity for printed pieces: 11. Provide applicable link 12. Provide applicable attachment SUBMIT