PSA submission form

Student Director's PSA Submission Form

The Academic Integrity PSA program provides Connecticut secondary school students the opportunity to promote the value of academic integrity.
Please note that the TEAM PSA Consent Form must be submitted before you can complete this PSA submission form. Please submit this form no later than March 3th, 2020.

The following form is to be filled out by the student who directed the PSA.

* Indicates required field

Student Director's Name *

First

Last

Grade *

School Name *

Faculty /Sponsor Name *

Student Director's Email *

Student Director's Phone Number *

PSA Title *

Your PSA's Google Drive Link *

Please have the title of your PSA reflect it's content.
PSAs with generic titles will be subject to editorial changes.

Submit

Ethics in action creates character

Student Director's PSA Submission Form

Hours

Telephone

Address