Award Publicity Form

For roles in productions, use the Production Publicity form.

Student Award Publicity Information

Please type or print your responses, spelling names in full. Completion of this form gives us permission to release the information to the news media.

Award Name:
Award Description:
Award Amount (if applicable):
Date & Location:
First Name:
Last Name:
Age:
Local Phone:
Email (required):
Address:
City:State:
Zip Code:
County (Ohio Residents only):
High School Attended:
Year Graduated:
Class Rank at BGSU:
Major:
Applied Teacher:
Instrument or Voice Type:
Ensembles in College:
Other college(s) attended, year(s) graduated and degree(s) awarded:

Parents (if divorced, list separately using extra lines below):

Mr & Mrs.:
Address:
Mr & Mrs.:
Address:
Campus and Community Activities:
Honors:
Other information of interest:
Hometown newspaper(s):

Updated: 12/12/2017 03:33PM

Award Publicity Form

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