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News & Events > Public Relations > PR Card

Public Relations Card

Please fill out this form completely and submit it to the college's Office of Public Relations. If you have any questions about our department or would like to update your file, please call extension 2855.

Student Public Relations Cards should be updated annually.

Today's date:   Year at Thiel:
ABOUT YOU

First Name: Middle Name: Last Name:

E-mail address:

Home Address: Street

Home Address: City, State & Zip Code

Major course of study:   Minor course of study:

Activities/honors at Thiel:

High school: Year of high school graduation:

City, State of high school:

Are you married? Yes No             If so, name of spouse:
ABOUT YOUR PARENTS

Father's Name:

Mother's Name:

Address: Street

Address: City

Address: State & Zip Code

Do your parents live at the same address? Yes No  If not, please list separate address:

Names of hometown newspapers (Please include addresses and/or city if possible.)

                
 

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