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Thank you for letting us feature you on KSUCPM social media! Please complete the information below and our marketing team will reach out if any additional information is needed.

First and Last Name:

OCPM / KSUCPM Graduation Year:

Email Address:

Phone Number xxx-xxx-xxxx

Tell us your story to feature on KSUCPM social media! Feel free to use one of our prompts below to get you started:
- Inspiring stories
- What motivates you or keeps you going
- What impact have you made within your community
- Significant awards or accolades
- The ‘ah-ha’ moment that made you choose podiatry

Do you have a social media account that you would like us to tag in our post? If so, please provide platform (Facebook, Instagram, etc.), as well as the name or handle where we can find you.

Please share some photos for us to include in our post! This may include a recent headshot or any photo that is relevant to your story.