Hall of Fame 2018 News Form

First Name *
Middle Name
Last Name *
Gender *
MaleFemale
Hometown *This is the city where you are from NOT where you currently live.
County *County in which your hometown city resides. Ex. Lafayette County for Oxford.
State *
Zip Code *
Email **Your e-mail address will only be used to contact you should we have questions about your form
Phone **Your phone number will only be used to contact you should we have questions about your form
Major *
Classification *i.e. "junior," "senior" or "second year of law school"
Please list your expected graduation date *Year and Month only. Ex: May 2020
Please list your top 3 academic, service and/or leadership achievements during your time at the University of Mississippi
Please start sentences with your Last name. Example) Smith was named a Rhodes Scholar, volunteered with many campus organizations, ....etc. Please do not use abbreviations for organizations or honors. Maximum words allowed: 300. Total words: 0
Please list the full names of your parents
*Please indicate if divorced or deceased and list city/state for each or both
Please list your spouse's name
*If applicable, include wife's maiden name
Please list the name of your hometown newspaper *
If there's a specific contact at your newspaper, please include that as well.

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