Hometown News Release Form

Rogers State University is always proud to let your community know about your accomplishments. In order for us to notify your hometown newspaper of your achievements, honors, and other newsworthy events, please complete the following form.

Please do not complete this news release form without direction from the RSU PR office or a staff or faculty member. News releases are produced at the discretion of the PR office.

Personal Information

Name and contact information of the person who directed you to complete this form:
First Name:
Middle Name:
Last Name:
Preferred Name:
Gender:	Female Male
Classification:
Hometown:
State:		ZIP:
Local Phone:
Cell Phone:
Email:

Educational Background

High School Name:
Year of H.S. Graduation:
City:
State:
Major @ RSU:
Minor @ RSU:
Certificate @ RSU:
Degrees already held and university obtained from:
Scholarships:

Parent Information

Parents listed separately will be listed as separate residences.
Parent Name:
Relationship:
City:
State:		ZIP:
Name and location of local newspaper:

Parent Name:
Relationship:
City:
State:		ZIP:
Name and location of local newspaper:

Professional Information

Current employer and position:

Memberships in:
(Please list any leadership positions you hold or have held with the organization.)

Internships:

Additional Information

List any additional information you would like to add:

Contact | Privacy | Disclaimer | Webmaster

RSUPR

Hometown News Release Form