Publicity Form

This publicity form provides the office of strategic communication 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.

Required fields are marked with an asterisk (*).

Personal information
Marital Status:
Gender:
Year in School:
Skip the next three fields if you have no previous degrees
Parent/guardian information
Hometown newspaper information
Event information

Alpha Kappa Psi Achievement Scholarship

Activity information

List Up to Four Honors, Awards or Leadership Positions:

Human verification