Name Title/Media Outlet Telephone Fax E-mail Supervising Editor’s Name/Contact Info Accompanying Photographer/Cameraperson Expected Coverage (i.e. describe feature, photo spread, listings, etc. and expected date of coverage) Spokesperson interviews Jean Augustine Family Member York University Other I agree to provide the Jean Augustine 80th Celebration Committee with a copy of resulting coverage byuploading the content to a secure FTP and by providing a hard copy of the footage. Please return the accreditation form by e-mail: contact@jeanaugustine.ca