Student Information Update

The Office of University Communication is updating its data base in efforts to have all students' hometown newspapers available for the release of pertinent information, including participation in various activities, honors, and awards. We appreciate your completing this form and submitting it. If you do not wish to have any hometown news stories distributed, please indicate that in the appropriate place on the form and submit it. Thank you.
Student's Name:

Home Address:

Hometown Newspaper (include city name):

Parents' names and addresses (either together or separately) as you would like them to appear in a newspaper:
(e.g. Mr. and Mrs. John Smith of Chicago; Ms. Mary Smith and Mr. John Smith, both of Chicago; Ms. Mary Smith of Chicago and Mr. John Smith of St. Louis. Please indicate if you want to have one parent listed.)

I/We do not want any hometown publicity distributed.