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

Drawing will be in April 2012 for the scholarship.
One entry per student.

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

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

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

yes

no

if yes, why?

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

Choose the organizations that you want to know more about.
You'll receive more information from these companies, schools, or organizations in 4-6 weeks.

D.) Companies
Cummins
FedEx
IBJ Media
Pratt Corporation
Print Communications Inc.
E.) Organizations/State Agencies/Resources
Inspire
Indiana Department of Workforce Development
Indiana Economic Development Corporation
TransferIN
USA Funds
F.) Schools
Indiana State University
Purdue University
University of Southern Indiana


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?

Write the characters in the image above


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.
You also agree to receive additional emails from IBJ Media.


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