Hometown News Release Form

Congratulations on your graduation from Paine College!

The Office of Communications would like to share your achievement with your hometown family and friends through a press release that will be forwarded to your hometown newspaper.

Hometown News Releases will be sent out approximately six weeks after graduation. Please note that while a release is sent out by Paine College, there is no guarantee that it will be printed. The decision to print a graduation notice is the responsibility of the editor of that particular newspaper.

Please submit your information no later than June 1, 2016.

Full Name: (last, first)

Email Address:

Gender:

MALEFEMALE

Hometown Info

Hometown City & State:

Hometown Newspaper:

wherever your parent(s)/guardian(s) will read it

Parent(s) Name(s): (last, first)

Parent(s) reside(s) in Hometown:

YESNOIf NO, Click "Add 1 More" to add another location you would like the News Release to be published

Parent(s) current City & State:

High School Name:

High School City & State:

Academic Info

Degree:

B.A.B.S.

Major(s):

Concentration:

Minor:

Graduation School Information

Honors, awards and scholarships received at Paine College:

Activities during years at Paine College: extra-curricular, clubs, sports, etc.

extra-curricular, clubs, sports, etc.

Internships/jobs at Paine College:

Future Plans

Will you be attending Graduate School?

YESNO

Graduate School:

Graduate School City & State:

Graduated School Intended Major:

Will you be employed after graduation?

YESNOincludes internships, paid positions, military service

Employer:

Employer City & State:

Job Title:

Captcha

Please enter the characters you see in this picture:

Characters

This helps prevent automated form submissions. If you are not sure what the characters are, make your best guess. You will have another try in the next screen.
Can't see the image? Click here for an audible version in English.

Need assistance with this form?