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Submit A Record

Submit A Record

Please help us expand this important historical archive by contributing information about yourself or the honoree you are representing.

If you have items you cannot share using this form, please contact Bradley D. Cook, Curator of Photographs at the Office of University Archives and Records Management, at 812-855-4495 or bcook@iu.edu.

Required fields are marked by an asterisk (*)

Submitted by:

* First name

Middle name

* Last name

Suffix

* Email

* Phone

* Are you the honoree?

Yes No

How would you like your name to appear in the Golden Book?

The same as above.

Please enter name as it should appear in the Golden Book.

* First name

Middle name

* Last name

If honoree is deceased, please provide any relevant information in the “Additional Remarks or Comments” field that you would like to share.

Relationship to honoree

Please enter name as it should appear in the Golden Book.

* First name

Middle name

* Last name

Please enter honoree’s phone number.

Phone number

Please enter honoree’s mailing address.

Street

Apartment number

City

State

ZIP code

Please enter honoree’s birth date.

Month

Day

Year

Honoree’s affiliation with Indiana University

Campus

* Role at IU

Other affiliation

Degree

Department

Start year

End year

Add an affiliation

Honoree’s military service

Branch

Other Branch

Highest rank

Other Rank

Campaign medals

Qualifications

Start year of service

End year of service

Add Conflict

Add military service

Did the honoree die during military service?

Yes No

Please enter honoree's date of death.

Month

Day

Year

Additional honoree information

If you would like to share photographs, scrapbooks, diaries, journals, publications, or any other documents you may have kept during your time at Indiana University or in military service, please upload your files in this section, or contact Bradley D. Cook, Curator of Photographs at the Office of University Archives and Records Management, at 812-855-4495 or bcook@indiana.edu.

We prefer photos of honorees in their military uniforms, in military settings, or engaged in activities related to their military service. Please submit photos of the honoree taken during their actual years of service.

Upload a Photo of the Honoree JPG & PNG filetypes, 2MB limit, 275 pixels wide x 275 pixels tall preferred

Does the honoree currently appear in the original Golden Book?

Yes No I don't know

On what page do they appear?

Additional remarks or comments