Student Publicity Form

Student Publicity Form

Phone: (717) 872-3586    Fax:(717) 871-2009    
Duncan Alumni House, 2nd Floor    Millersville University, P.O. Box 1002, Millersville, PA 17551-0302
    Required fields marked with a *

    *Newspaper(s) to be Notified (limit 2)    

    Newspaper's Address (if known)
  
   IMPORTANT: We can send notices only to two newspapers.

  *Your Name (First, MI, Last)

  E-mail Address

  *
Male Female

  *Hometown Address (Street, City, State, Zip, Phone, County)
  

  University Address
  

  

   *Degree *Major

   Option/Emphasis

 Activities at Millersville
  

   Leadership Positions (MU activities)
  

  
  Awards/Scholarships/Honors (at MU)
  



  
  Parent/guardian information (both parents)
   Name:
  Address(es):
  Occupations:
  Employers:
  Colleges/universities attended (include class year):
  

  


  Special Information