Young Writers Awards
(Electronic Copies available at www.ctstateu.edu and ctyoungwriters.org
This form is double-sided.
(Please Print or Type)
Student Name ___________________________________________
City__________________________ State_________________________ Zip Code________________
e-mail address ________________________________________________
Phone Number ___________________________________________
Date of Birth ______________________Age______________________
(print full name)
City__________________________ State______________________________ Zip Code_____________
e-mail address _________________________________________________
School Phone Number______________________________________
Teacher Signature (required) ________________________________
Submission Category (circle one): PROSE POETRY
Number of Pages ___________________________________________
Submit 4 copies of your entry together with this entry form. Submission must be postmarked by February 1, 2007 and accompanied by this entry form. Mail to IMPAC—CSU Young Writers Awards, Connecticut State University System,
39 Woodland Street, Hartford, CT 06105-2337. IMPAC-CSU Young Writers Trust maintains first rights for the written works. Reprint permission may be granted.
Errors on entry form, e.g., wrong county, could result in disqualification.
See reverse side or page 2 for complete entry rules.
A teacher in a public or private school must nominate entries for the competition. Home school nominations are also accepted.
Young writers between the ages of 13 and 18 years of age should submit four copies (1 original and 3 copies) of their best single work in poetry or prose; only one entry per student is permitted. Prose entries may include essays, short stories, reviews, plays, research papers or news articles. There are no length requirements.
Entries should be typed, double-spaced, on 8½ by 11-inch paper and submitted along with this entry form. Please number each page of your submission. Do not place your name on your work of prose or poetry. Your entry will be confidential when distributed to judges.
The entries must be postmarked by February 1, 2007 and submitted to:
IMPAC—CSU Young Writers Awards
Connecticut State University System
39 Woodland Street
Hartford, CT 06105-2337
___ 8½ x 11 paper
___ 4 copies (one original & 3 copies)
___ name of author should not appear on the submission
___ pages numbered
___ Print (legibly) or type (except for teacher signature)
___ County (not country)
___ Age of student: 13, 14, 15, 16, 17 or 18 during school year 2006-2007
___ Teacher signature required
___ Category circled
Top of Page / Home