Please complete this form by July 29 to request an official HLGU Dean’s List announcement be sent to your hometown newspaper. For more information, contact the HLGU Academic Administration Office at 573-629-3092, or via email at firstname.lastname@example.org Student Name* Student Home Address* Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Newspaper Name* Newspaper City, ST* Newspaper Email* We MUST have an accurate email address for your newspaper as that is how the dean's list announcement will be disseminated. General, reporter, editor, or newsroom email addresses are best. Please do not submit email addresses for circulation or advertising.