Creative Writing Competition Entry Blank

(This form must be attached to essay)

 

PRINT or TYPE all information except signature

 Student Name:_______________________________________

 Male____ Female____

 Grade________ Age__________ 

Hunter Education Number___________________

Home Address__________________________________________________

City____________________________________ Zip___________________

Phone (         )____________________________

School Name_____________________________

 School Address_________________________________________________

 City____________________________________ Zip___________________

 School Phone (          )______________________

 Teacher_________________________________

 Subject(s) Taught_____________________ Grade(s) Taught_____________

 Attached Student work is certified as original

 By:________________________________

(signature of teacher or youth group leader)

All mailed entries must be postmarked no later than midnight Nov. 20, 2009. Hand delivered entries must arrive at the Oklahoma Department of Wildlife Conservation Jenks Office, 201 Aquarium Drive, Jenks Oklahoma by 5:00 p.m., on Nov. 20, 2009. No faxed entries will be accepted.

 

Address entries to:  Essay Contest, Education Section Supervisor, ODWC Jenks Office, PO Box 1201, Jenks, OK 74037.

STUDENT INFO             TEACHER INFO     TEACHER APPLICATION