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Teen Driving Activist of the Year
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High School Journalist
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Complete this entry form, print it out and submit it with three copies of your published article.
STUDENT NAME
HOME ADDRESS
CITY
Alaska
Alabama
Arkansas
Arizona
California
Colorado
Connecticut
District of Columbia
Delaware
Florida
Georgia
Hawaii
Iowa
Idaho
Illinois
Indiana
Kansas
Kentucky
Louisiana
Massachusetts
Maryland
Maine
Michigan
Minnesota
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Mississippi
Montana
North Carolina
North Dakota
Nebraska
New Hampshire
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Nevada
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Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
Wisconsin
West Virginia
Wyoming
HOME PHONE NUMBER
MOBILE PHONE NUMBER
EMAIL ADDRESS
ARTICLE SUBMISSION TITLE
ARTICLE PUBLICATION DATE
HIGH SCHOOL NAME
HIGH SCHOOL ADDRESS
CITY
Alaska
Alabama
Arkansas
Arizona
California
Colorado
Connecticut
District of Columbia
Delaware
Florida
Georgia
Hawaii
Iowa
Idaho
Illinois
Indiana
Kansas
Kentucky
Louisiana
Massachusetts
Maryland
Maine
Michigan
Minnesota
Missouri
Mississippi
Montana
North Carolina
North Dakota
Nebraska
New Hampshire
New Jersey
New Mexico
Nevada
New York
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
Wisconsin
West Virginia
Wyoming
HIGH SCHOOL OFFICE PHONE NUMBER
SIGNATURE OF NEWSPAPER/JOURNALISM ADVISOR
_____________________________________________________________________________
PRINT NAME ________________________________ E-MAIL___________________________
ADDRESS _____________________________________________________________________
SIGNATURE OF STUDENT
_____________________________________________________________________________
PRINT NAME _____________________________________________________________________
SIGNATURE OF PARENT OR LEGAL GUARDIAN IF BETWEEN THE AGES OF 13 - 18
_____________________________________________________________________________
PRINT NAME _____________________________________________________________________
Check here to receive information on teen driving or receive educational materials from The Allstate Foundation and KeeptheDrive.com.
Mail your contest entry to:
Driving Force in Journalism Contest
c/o Fleishman-Hillard
875 N. Michigan Ave., Ste. 3300
Chicago, IL 60611
CONTEST RULES