2018-2019 IHSPA Membership Form
*ONLY COMPLETE ONE FORM PER SCHOOL*

School data will be published in the IHSPA Directory and posted on the IHSPA website. Adviser data can be withheld by request. Updates to the school and/or adviser data will be made on the website regularly.

If any of your membership data changes during the year, please contact us with the update, especially if there is a change
to email addresses. Those fields that are not applicable to your school and/or student media program can be left blank.

Please email IHSPA Director Ryan Gunterman at rgunterman@franklincollege.edu with any questions/concerns.

SCHOOL INFORMATION
School Name *
Your answer
Information Change *
(Select one) SAME AS 2017-2018: Skip to the "IHSPA DUES & CONTESTS" section at the end of this form. -- DIFFERENT THAN 2017-2018: Submit new information ONLY and then proceed to the "IHSPA DUES & CONTESTS" section at the end of this form. -- NEW MEMBER/DID NOT REGISTER IN 2017-2018: Please complete all relevant portions of this form before submitting to IHSPA.
School Street Address
Your answer
School City
Your answer
School State
Your answer
School Zip
Your answer
School Phone
Your answer
School Fax
Your answer
School Enrollment
School Principal
Your answer
School Principal Email
Your answer
STUDENT PUBLICATIONS
Please provide the following information about all student publications available at your respective school.
Newspaper Name
Your answer
Newspaper Facebook
Your answer
Newspaper Twitter
Your answer
Newspaper Instagram
Your answer
Newspaper Snapchat
Your answer
Newspaper Other Online Media (YouTube, Flickr, etc.)
Your answer
Newspaper Adviser(s)
Your answer
Newspaper Adviser(s) Email(s)
Your answer
Newspaper Adviser(s) Phone #(s)
Your answer
Include Newspaper Adviser Contact In Directory?
Yearbook Name
Your answer
Yearbook Facebook
Your answer
Yearbook Twitter
Your answer
Yearbook Instagram
Your answer
Yearbook Snapchat
Your answer
Yearbook Other Online Media (YouTube, Flickr, etc.)
Your answer
Yearbook Adviser(s)
Your answer
Yearbook Adviser(s) Email(s)
Your answer
Yearbook Adviser(s) Phone #(s)
Your answer
Include Yearbook Adviser Contact In Directory?
Broadcast Name
Your answer
Broadcast Facebook
Your answer
Broadcast Twitter
Your answer
Broadcast Instagram
Your answer
Broadcast Snapchat
Your answer
Broadcast Other Online Media (YouTube, Flickr, etc.)
Your answer
Broadcast Adviser(s)
Your answer
Broadcast Adviser(s) Email(s)
Your answer
Broadcast Adviser(s) Phone #(s)
Your answer
Include Broadcast Adviser Contact In Directory?
Website Name & URL
Your answer
Website Facebook
Your answer
Website Twitter
Your answer
Website Instagram
Your answer
Website Snapchat
Your answer
Website Other Online Media (YouTube, Flickr, etc.)
Your answer
Website Adviser(s)
Your answer
Website Adviser(s) Email(s)
Your answer
Website Adviser(s) Phone #(s)
Your answer
Include Website Adviser Contact In Directory?
Other Publication(s) (literary magazine, sports magazine, etc.)
Your answer
Other Publication(s) Facebook
Your answer
Other Publication(s) Twitter
Your answer
Other Publication(s) Instagram
Your answer
Other Publication(s) Snapchat
Your answer
Other Publication(s) Other Online Media (YouTube, Flickr, etc.)
Your answer
Other Publication(s) Adviser(s)
Your answer
Other Publication(s) Adviser(s) Email(s)
Your answer
Other Publication(s) Adviser(s) Phone #(s)
Your answer
Include Other Publication Adviser Contact In Directory?
IHSPA DUES & CONTESTS
Membership Type ($25 each) *
Required
Hoosier Star Critique ($50 each)
2017-2018 Yearbook deadline is Nov. 16, 2018 -- 2018-2019 Newspaper deadline is March 1, 2019 -- Only those with a current membership may enter IHSPA contests.
Total $ Due to IHSPA *
Your answer
MEMBERSHIP AGREEMENT
Adviser Signature *
Please provide your electronic signature and select today's date to complete this form. Submission of this form signifies your agreement to pay those applicable membership and contest fees once invoiced by the Indiana High School Press Association. Membership expires exactly 12 months from the completion date of this form.
Your answer
Completion Date *
MM
/
DD
/
YYYY
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