Celebrating Young Writers 

High School Writing Contest 
Entry Form

Please paperclip one copy of this entry form sheet to three copies of each entry. The entry must include a title on the first page. The student’s name should not appear on the entry.

Please print:

Student’s Name:													

Grade (circle one): 	9th 		10th 		11th 		12th 

School:														
(If you are home-schooled, write “Home”)

English Teacher’s Name:												
(If you are home-schooled, write your parent’s name here)

Home Address:													
 			House Number and Street Name			City			State		Zip Code

Phone where you can be reached (with area code):							

ENTRY TITLE:													

CATEGORY (circle one):	Short Fiction	Poetry		Non-fiction Essay

At the awards ceremony, the winning entries (or excerpts from) will be read aloud, either by the student writers or by a member of the Shawnee College faculty. In addition, winners are asked to submit their work electronically for publication on SCC’s website.
	
If I win, I would like to read my work aloud at the awards ceremony (circle one):		Yes    	  No

If I win, I give SCC permission to publish my winning entry on its website (circle one):	Yes    	  No

NOTE: COPIES WILL NOT BE RETURNED. 

Shawnee College is not responsible for the content of entries.

Statement of Originality

The attached entry represents my original work. 		Date:					

Student Signature: 											

Submit entry packets by mail or in person to: 
Dr. Ryan Thornsberry, English Instructor and Contest Coordinator 
Shawnee Community College, 8364 Shawnee College Road, Ullin, IL 62992