Complete this entry form, print it out and submit it with three copies of your published article.


STUDENT NAME
HOME ADDRESS
CITY      
HOME PHONE NUMBER
MOBILE PHONE NUMBER
EMAIL ADDRESS
ARTICLE SUBMISSION TITLE
ARTICLE PUBLICATION DATE
HIGH SCHOOL NAME
HIGH SCHOOL ADDRESS
CITY      
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 _____________________________________________________________________
 
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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