EmailMeForm
Scholarship and Recognition Form
To be included in the TRIAD newsletter
Name
*
First
Last
Email
*
We will contact you if we have questions or need further details
Title, department/office
*
Examples:
- Professor of English
- Faculty member in the College of Arts, Social Sciences and Humanities
Home Campus
*
Bloomsburg
Clearfield
Lock Haven
Mansfield
Details
*
Please describe your accomplishment in full-sentence form. 200 word limit.
*Description must be included in this section. File uploads with text will not be accepted.
Link
Include a link to your accomplishment, if applicable.
Photo
Photos are not necessary - include if applicable.
Include names of those in the photo from L-R, if applicable.
Not all submitted photos will be used in the newsletter.
*Flyers or images with text will not be accepted.