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2130 Old Main
Eastern Illinois University
600 Lincoln Ave.
Charleston, IL 61920

Phone: 217-581-7650
Fax: 217-581-8444

Vicki Woodard
vwoodard@eiu.edu
Janice Hunt
jlhunt2@eiu.edu

Student Hometown News Release Form

Student Hometown News Release Form

Name * First Last
Honor Received *
Details of Recognition/Award
Date Received * / MM / DD YYYY
Year in School * Freshman Sophomore Junior Senior Grad Student
Major *
Year Graduated from High School *
Name of High School *
High School Town/City/State *
Your Hometown (You'll be listed as being from here on the release.) *
Photos Check here if you have a high-resolution digital photo (300 dpi) to accompany this press release. If so, upload below. Check here if our office will be receiving a printed copy of a photo. Please note: When print photos are provided to us, we usually only receive one copy. If you want this release to go to more than one newspaper, please indicate which one should receive the print photo. No photo.
Photo Upload
Own Hometown Paper (Provide newspaper name and address.)
Spouse's Name
Children's Names
Parents' Hometown Newspaper (Provide newspaper name and address.)
Parents’ Names and Address(es) (for notification purposes -- include street, city, state, ZIP) Note: If parents live apart, please include names and addresses for both parents and their local newspapers.
Include Parents' Names? * Yes No
Other Newspaper or Publication (Need “local tie-in” information if this is desired, i.e., names of relatives in the area, memberships in area organizations, etc.)
Contact Information
Email *
Local Mailing Address *
Phone * - (###) - ### ####

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