Official Entry Form
Illinois Woman's Press Association
(affiliate of the National Federation of Press Women)
High School Journalism Contest

Complete entry form and mail with two copies of entry to:
Linda Heacox
IWPA High School Journalism Contest
7341 N. Hoyne Avenue, Unit G
Chicago, IL 60645

State affiliate fee is $5 per entry. Checks should be made payable to IWPA. Mail your entries by March 17, 2007. Contact contest chair Linda Heacox with questions at cmnctr@hotmail.com.

Category: Circle one: (If entry is work of two or more persons, each must complete a form.) Print or write legibly.

Headline or cutline/caption____________________________________________________________________

Publication name_______________________________________________Date published_________________

Student's name________________________________________________Grade________________________

Name of parent/guardian ____________________________________________________________________

Student's home address___________________________City________________________State_____Zip_____

Student's home phone (_____)_____________________ Student's e-mail_______________________________

Hometown newspaper/address________________________________________________________________

High school name/address_____________________________________________________________________

As the publication's adviser, I signify this is the work of the student named above.

Signature ______________________________Telephone and e-mail_________________________________
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If the article/photograph/artwork/layout design appeared in a community publication, complete this section

Name of Publication______________________________________________Editor______________________

Address_________________________________________________________________________________

To the editor: To the best of my knowledge, this is the entrant's own work.

Signature_______________________________________________Telephone number___________________
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