Missouri State University

Publicity Form

This publicity form provides the office of university communications with information to complete a news release on your activity, which will be sent to your hometown newspaper. Completing this form indicates your permission to release the information contained in this form. If you do not want a news release sent, please do not fill out the form.

Instructions: Complete each field, and enter information as you wish it to appear in your local newspaper. Please follow the examples provided when inputting your information.

Personal Information

(e.g. John R. Smith, Alice Jones)
Marital Status:
Year in School:
St. Louis, Columbia
Central High School
Skip the next three fields if you have no previous degrees
Associate of Arts
Ozarks Technical Community College

Parent/Guardian Information

John and Joan Smith, St. Louis, MO

Hometown Newspaper Information

Joplin Globe, Springfield News-Leader
Springfield, Jefferson City

Event Information

Alpha Kappa Psi Achievement Scholarship
June 10, 2002
College of Business Administration

Activity Information

List Up to Four Honors, Awards or Leadership Positions:
President, Student Activities Council
Dean's List
Freshman Academic Scholarship recipient
Secretary, Gamma Sigma Sigma Sorority