Student News Release Form

Please fill out this form completely and accurately. We will use the information you provide to write a press release on your accomplishment/honor for publication in the hometown newspapers you list below. The information you provide may also appear on the Millsaps website or in a publication produced by the College. If your browser does not support forms, please email your information to the Communications office at communications@millsaps.edu. If you would like a photo to accompany your release, please send a CLEARLY LABELED print to the Office of Public Relations at campus box 151149.

Name
Your year in school
Current honor
Home town
State/Province
Hometown paper
City
Hometown paper
City
E-mail
Current phone number
Major

List any other awards or honors you have received:


List any clubs, organizations, athletic teams, or councils in which you are active:


Please provide your father's contact information (If it applies, please include step-parent information):

Name
Street address
Address (cont.)
City
State/Province
Zip/Postal code
Home Phone

Please provide your mother's contact information (If it applies, please include step-parent information):

Name
Street address
Address (cont.)
City
State/Province
Zip/Postal code
Home Phone

If it applies, your spouse's name

Name

What do you plan to do after graduation?


Please use this space for any additional information you would like included in the press release.


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