Hometown News Release Form

* Required

Communications Hometown News Release

Purpose of news release * Commencement Dean's List Theatre Performance Music Performance Art Show (describe below) Scholarship/Fellowship (list type/amount below) Other (describe below)
If you selected Art Show, Scholarship/Fellowship, or Other, please describe:
Student Name * First Last
E-mail Address *
Gender * Female Male
Current Street Address *
City *
State *
Zip *
Current Phone Number
Permanent Phone Number
Contact Address and Phone Number After Commencement

(for Commencement releases only)
Parent 1 Full Name

(include first names)
Parent 1 Hometown and Zip
Parent 2 Full Name

(include first names)
Parent 2 Hometown and Zip
High School, City, State, and Graduation Year *
Other Colleges or Universities Attended and Degrees
Your Local Hometown Daily Newspaper and City *

(list one; enter n/a for none)
Your Local Hometown Weekly Newspaper and City *

(list one; enter n/a for none)
Puget Sound Major, Minor, and Expected Graduation Date *
Activities You've Been Involved in at Puget Sound *

(specify on-campus or off-campus; do not abbreviate)
Other Information