Hometown News Release Form

Have you accomplished something lately that you'd like to tell us about? Why not bring some recognition to yourself and to Western. Fill out the form below and we'll get the message to your hometown newspaper.

Name:

E-Mail:

Phone Number:

(Suggestion: Lastname wins state honors at soil judging contest)
Title:

(Students enter professor who knows about this award/honor you are receiving.
Faculty/staff enter your own name)
Contact:

Your Hometown:

Hometown: (If other than Kentucky)

Award or Honor:

Event or Contest you attended or organization that issued the honor::

Location of Event:

What is your title for Faculty/Staff or Degree/Classification for students:

Describe in no more than 250 words the competition
that was required to win the award, or the purpose behind
the honor that was bestowed:

Describe in no more than 250 words any citation or remarks
that were noted as part of your award/honor :

Please Send My Release To:

Name of Newspaper:

Street Address:

City:

State:

Zip:

AND (* Optional)

Name of Newspaper:
Name of Newspaper:

Street Address:

City:

State:
State:

Zip: