Asian-Pacific Islander Heritage Month Essay Contest Application - NBC4 Washington

Asian-Pacific Islander Heritage Month Essay Contest Application

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    ASIAN-PACIFIC ISLANDER AMERICAN HERITAGE MONTH 2011

     

     

    Essay Contest Topic:

     

     

    "Why Is Asian-Pacific Islander Heritage Month Important?"

     

     


    Entry Application

     

    Date: _____________________________

    Name: _____________________________________________

    Date of Birth: _____________________________

    Street Address: _________________________________________

    City, State, Zip: _________________________________________

    Phone (Daytime): (_______)______________________

    Phone (Evening): (_______)______________________

    E-mail: _____________________________

    Name of Essay: _______________________________________

    ________________________________________________________________________________

     

    School: _____________________________

    Street Address: _________________________________________

    City, State, Zip: _________________________________________

    Phone: (_______)______________________

    Grade: ______________________

    All entries must be received by Wednesday, May 11, 2011 at 11:59 p.m. to be eligible for contest. This completed application form must accompany each essay and photo. Submissions may not be made electronically.

    Furthermore, I grant NBC4/WRC-TV the right to distribute my essay and photo as they see fit (except where prohibited), including any broadcast or print reproduction, as well as to utilize my name and likeness for future promotional projects, for a period not to exceed twelve (12) months after 5/30/11.

    Signed: __________________________________

    Date: _____________________________

    Parent's Signature (if under 18): __________________________________

    Date: _____________________________