ACADEMIC HONORS RELEASE FORM

Saint Mary's College • Academic Honors Release Information Form Please complete the fields on the form below and hit the "Submit" button at the bottom of this page. Local students with hometown newspapers on this list ( click here.) DO NOT HAVE TO SUBMIT THIS FORM.
YOUR INFO (as you would like it to appear in the release):
FIRST NAME
MIDDLE (optional)
LAST NAME
CLASS YEAR
PARENTS’/GUARDIANS’ NAME(S) (as you would like them to appear in the release):
PARENT NAME 1
PARENT NAME 2
HIGH SCHOOL INFORMATION
HIGH SCHOOL NAME
HOMETOWN:
STATE:
NON LOCAL HOMETOWN NEWSPAPER(S) - with email Check to see the newspapers that automatically are sent releases - please submit any newspapers not on this list click here.
1.	NEWSPAPER NAME
Email Address * Required
2. NEWSPAPER NAME
Email Address * Required

For more information, contact:
Office of Media
308 Haggar College Center
Saint Mary’s College
Notre Dame, IN 46556-5001

Phone: (574) 284-4579
Fax: (574) 284-4848