Grad | Real Life Indiana

You can win! Just complete this form and you could win...
a $1500 Indiana College Scholarship from USAFunds!

Drawing will be in April 2008 for the scholarship.
One entry per student.

You automatically enter to win when you complete and submit this questionnaire

1.) What are you planning to do after college?

2.) Do you plan on moving out-of-state following college?

yes

if yes, why?

3.) Which three of the following career fields are you most interested in pursuing?

Name:

Address:

City:

State:

Zip:

Phone:

EMail:

School Name:

Date of Birth:

(mm/dd/yyyy)

Junior

Senior

Fields of study you plan to pursue?
e.g. nursing, business, education:

Comments for next year’s publication:

Which article was most helpful? how?:

What is your impression of the online version of the Next Indiana magazine.:

	Outstanding. This is definitely the future of printed material.
	Generally favorable.
	Good, but needs some improvement before I want to view all magazines this way.
	Didn't like the way it works.
	No opinion

Would you like to see more publications using this technology?


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by clicking the submit button above, you are agreeing to provide the information you filled-out above to
IBJ Media, the publisher of GRAD Magazine

Prizes awarded by USA Funds and IBJ Media Corp, publisher of GRAD, to verified high school juniors or seniors in Indiana. Prize is non-transferable and cannot be substituted for cash.

Another partnership project sponsored by IBJ Custom Publishing