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Tell Us Your News
Student Achievement Form

Have you recently become a newsmaker?
If so, we'd like to hear from you.

This form should be used as a vehicle to announce student accomplishments, awards or honors, including the awarding of a special scholarship, your involvement in any student activities such as student government, etc., or your participation in any external academic function such as job shadowing a doctor at a rural health clinic, etc.

We will edit your submission for Associated Press (AP) style and send it to the appropriate media outlets. All entries are subject to verification before release. All fields in red are required.

If you have questions, contact the Office of Public Affairs at (812) 237-3773 or opa@indstate.edu

Today's date:


Contact Information:

Name:
(a person very knowledgeable about the award/honor)
Title:
Relationship to
student:
Phone:
Fax:
Email:


About the person being honored:

First Name:
Last
Name:
Major:
Dept.

Previous  Degree: 
Institution:   Year:
Hometown:
Home county:
Home State:
  
   If other than Indiana
Home Country:
      
If other than USA
High School:
HS Grad. Year:

Parent(s) Names and Addresses:
Name:
Address:

 
Name:
Address:


About the award:

Name of award/appointment/achievement:

Date and occasion of presentation:
(i.e. Feb 1, 2000; Panhellenic Council Awards night)

Place of presentation:
(i.e. Hulman Memorial Student Union, 9th floor)


person(s) received this award/honor out of people nominated.


Describe in 250 words or less the criteria or significance of the award/honor and a brief description of the awarding organization.


Provide in 250 words or less any comments made by the awarding organization which we may be able to use as quotes in the press release.



Other campus activities student is involved in:


Press releases are routinely sent to local media outlets and to the honoree's hometown. If you would like the release to be sent to other publications, please provide the following information (please fill it out also if your hometown may be too small to appear in national press registers):  


Name of publication:

Address:

City:

State:

Zip code:

Fax #:


Name of publication:

Address:

City:

State:

Zip code:

Fax #:


Please take a moment to review your entry before submitting it to our office.  Thank you for taking the time to tell us your news, and congratulations on your achievement.


Updated August 05, 2003
Copyright © 2002 Office of Public Affairs