Student Achievement Form

This form should be used as a vehicle to announce student accomplishments, awards or honors, including the awarding of a special scholarship, your involvement in any student activities such as student government, etc., or your participation in any external academic function such as job shadowing a doctor at a rural health clinic, etc.

We will edit your submission for style and send it to the appropriate media outlets. All entries are subject to verification before release.

If you have questions, contact the Office of Communications & Marketing at (812) 237-3773 or isu-communications@indstate.edu.

Today's date: Aug 22, 2014

Submitter’s contact information:

Name: Phone:
Title: Email:   

Person being honored:

First Name: Last Name:
Class Year: Major:
Minor (if applicable): Department:

High school and year of graduation:

Parent(s) Names and Addresses:

Name of award/appointment/achievement:

Date, location and occasion of presentation:

Describe in 250 words or less the criteria or significance of the award/ honor and a brief
description of the awarding organization.


Press releases are routinely sent to local media outlets and to the student’s hometown.
If you would like the release to be sent to other publications, please provide the following information.

Name of hometown newspaper:

Name of publication:   City and State:

Name of publication:   City and State: