COLLEGE LANGUAGE ASSOCIATION
2009 - 2010  CREATIVE WRITING CONTEST
OFFICIAL ENTRY FORM

This entry form must be included with the three copies of your work. You must also include a $10 processing fee. Submissions that are not accompanied with this entry form and the processing fee will be disqualified.  
Language (check):                                      _____ English  ____ Spanish    ____ French
Genre (check):                                           _____ Poetry   ____ Short Story ____ Drama
Name ___________________________________________SS# (last four digits) ________
Address ____________________________________________________________________   
City ___________________________________ State _____________ Zip Code _________
Phone ________________________E-mail address ________________________________
College/university____________________________________________________________


Title(s) of submission(s) ______________________________________________________
____________________________________________________________________________
Name of Faculty Sponsor _____________________________________________________

Signature of Faculty Sponsor__________________________________________________

E-mail address of Faculty Sponsor_____________________________________________

I affirm that the title(s) above is (are) my original creation(s) and has (have) not been published nationally.


Signed _____________________________________________Date ___________________