Please clearly print the following:

Author’s Name: _______________________________________________________________

Social Security #: ______________________________________________________________

Street Address: ________________________________________________________________

City: __________________________________________ Zip Code: __________________

Phone #: ____________________________ (Home) _____________________________ (Work)

Title of Essay: ________________________________________________________________

Circle one for the composition course for which the essay was written:

English 1A English 1B English 1C

Circle one for the semester in which the essay was written:

Spring ’01 Summer ’01 Fall ‘01

Full Name of Instructor of course: ________________________________________________

In the event that my essay wins an award, I DO give permission for it to be printed in the Best Essays anthology. I understand that this printing does not infringe on my copyrights and that submitted essays will not be returned.

_____________________________________

Contestant’s Signature