1. Name (first and last)
2. News outlet
3. News outlet URL
4. Email address for responses
5. Phone (for internal ProfNet use only, in case we have questions)
6. Your role:
7. Query headline
8. Text of query (nature of expertise you seek)
9. Deadline for responses (date and time, in Eastern Time)
10. Would you like us to cloak the query (leave out the publication name)?
11. Should we limit your query to a specific country, region or state? (If left blank, the default is North America.)
12. To which institution types should we send your query?
13. Would you like us to distribute this query to Spanish-speaking experts via ProfNet en Español?
14. Any additional instructions for ProfNet?
15. If your query has a same-day deadline, would you like us to post it on ProfNet's Twitter feed (@profnet )? Because Twitter is an open network, we won't post it without your approval. (Available for same-day deadline queries only)