Entry Form

The Key Newspaper

2008 Readers as Writers Contest

 

Sponsored by:

Milwaukee Area Technical College, Wisconsin Technical College System, Journal Communications, Inc., and The Milwaukee Public Library.

PLEASE PRINT

 

Name:  ______________________________________________________________________

                (Last)                                               (First Name)                            (Middle Initial)

 

Over age 18?   __Yes;  __No    __________ Parent/Guardian signatures required if under age 18.                                                             (Birthdate)

                                                                    

Mailing Address: ______________________________________________________________

 

                             ______________________________________________________________

 

                            ­_______________________________________________________________

                                        (City)                                       (State)                           (Zip)

 

Daytime Phone:________________________________________________________________

                                       (Area Code)

Evening Phone:________________________________________________________________

                                       (Area Code)

 

InstructorÕs Name:______________________________________________________________

 

Daytime Phone:________________________________________________________________

                                       (Area Code)

 

Name of Literacy Program:_______________________________________________________

 

Address:______________________________________________________________________

 

             _______________________________________________________________________

                                       (City)                                     (State)                            (Zip)

   

I am in (check whatever applies):   Adult High School ______;   GED_____;  HSED _____;

 

Adult Basic Education _____;  ESL______;  Adult Vocational ______; Other _______________

 

(explain ÒotherÓ)_______________________________________________________________.

                                                                                                 

Title of Entry 1:________________________________________________________________

 

Title of Entry 2:________________________________________________________________

 

            Entry #1                                                                     Entry#2         

 

            Essay: _____                                                               Essay:_____

            Poem: _____                                                               Poem:_____

            Commentary:_____                                                     Commentary:_____

            Journal Entry:_____                                                    Journal Entry:_____

            Song Lyric:_____                                                       Song Lyric:_____

            Letter:_____                                                                Letter:_____

            Editorial:_____                                                            Editorial:_____

            Movie/Book Review:_____                                        Movie/Book Review:_____

            News Report:_____                                                    News Report:_____

            Feature Article:_____                                                  Feature Article:_____

            Other:_____    ______________________                Other:_____   __________________

 

I, (print name)___________________________________________________________, hereby

give permission to The Key Newspaper to publish my composition(s), named above, in the 2008 Readers as Writers book.  I understand that my composition might be edited for publication.  I give my permission to The Key Newspaper to use my name in conjunction with the publication of my work.

 

AuthorÕs Signature:_____________________________________________________________

 

InstructorÕs Signature:___________________________________________________________  

 

I, (print name)___________________________________________________________, do NOT give permission to The Key Newspaper to publish my name if my composition is chosen for publication.  Please identify me as:

 

_____________________________________________________________________________

 

AuthorÕs Signature:_____________________________________________________________

 

InstructorÕs Signature:___________________________________________________________

 

We prefer electronic documents to hardcopies. Electronic copies must be in Word and submitted as an email attachment to balistrv@matc.edu. Submit diskettes or hardcopies with entries to:  Readers as Writers Contest, c/o The Key Newspaper, Milwaukee Area Technical College, 700 West State Street, Milwaukee, WI, 53233.  Entries must be received by Friday, March 14, 2008.   This form must accompany entries submitted in hardcopy or by diskette.  An electronic copy may be submitted when entries are submitted as email attachments, but a signed copy of the form must be mailed to the address above or faxed to 414-297-8522 by the entry deadline.  (Copy blank entry form for additional entries.)