Writing Contest Entry Form 2014

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Cooley,   L andes,   a nd   M ack   W riting   C ontests      
2014   E ntry   F orm  
 
Category   ( Circle   o ne)         C ommon   R ead   E ssay               E ssay                 D rama                 F iction                 L andes   F irst   Y ear                 L andes        
Real   N ame   _ ________________________________         P seudonym   o r   a lias________________________________    
Submission   T itle_______________________________________________________________________________  
Local   A ddress_________________________________________________________________________________  
Permanent   A ddress____________________________________________________________________________  
Phone__________________________________     C oE   P rogram_________________________________________  
Student   I D   n umber_____________________     E mail   _ ________________________         @ umich.edu         @  
If   f or   c lass:   I nstructor   n ame/email_________________________________________________________________  
Additional   I nstructor/email______________________________________________________________________  
Additional   I nstructor/email_______________________________________________________________________  
Signature   o f   o ne   o f   t he   a bove   i nstructors__________________________________   e mail_____________________  
 
I,   ( your   s ignature   h ere)   _ __________________________________   a gree   t o   t he   f ollowing:  
The   c ontests’   a dministration   m ay   p ublish   a ny   p hotos   o f   m e   a t   c ontest   e vents   t o   a dvertise   o r   p romote   t he  
contests   a t   t heir   d iscretion.  
The   c ontests’   a dministration   m ay   p ublish   m y   m anuscript   o n   t he   o fficial   w riting   c ontest   w ebsite   o r   i n   p rint  
to   a dvertise   o r   p romote   t he   c ontests   a t   t heir   d iscretion.    
  I f   t his   m anuscript   p laces   i n   o ne   o f   t he   a bove   c ontests   a nd   i s   s ubsequently   p ublished   i n   a nother  
publication,   I   a gree   t o   i ndicate   i n   a   f ootnote   t hat   i t   w as   a warded   a   p rize   a nd   t o   n ame   t he   c ontest/prize.    
 
To   e nter:      
Four   c opies   o f   y our   e ntry   f or   t he   2 014   C ooley,   L andes,   a nd   M ack   w riting   c ontests   m ust   b e   s ubmitted   b y   N oon,  
January   1 5,   2 014   t o   r oom   3 01   G FL.     P lease   n ote   t hat   a ll   e ssay   s ubmissions   w ill   b e   e ntered   i nto   b oth   t he   C ooley   a nd  
Mack   c ontests   ( Exception:   C ooley   C ommon   R ead   E ssays   w ill   o nly   b e   s ubmitted   t o   t he   C ooley   c ontest.)  
 
Each   e ntry   m ust   i nclude   a n   e ntry   f orm.     W hen   m ultiple   a uthors   a re   e ntering   a   m anuscript   t ogether,   e ach   o f   t he  
authors   m ust   i nclude   a n   e ntry   f orm   w ith   t he   m anuscript.     E very   a uthor   o n   t eam   p rojects   m ust   b e   i ncluded   i n   t he  
entry   p rocess.    
 
 

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