Awards Entry Form - President's Award

PRESIDENT'S AWARD ENTRY FORM

Name:
Address:
Phone: (H):	(W):
Email:	Fax:
Name of local Newspaper for post-award publicity:

Please complete appropriate details

PRESIDENT’S AWARD

Title:

Author/Submitter:

Date of Birth:

Year at School:

School :

Teacher for Contact:

I certify that this entry is the work of the student concerned.

Teacher's Signature:

Position:

I have read the conditions of entry for the appropriate award and am prepared to abide by these conditions.

Entrant's Signature:

Date:

PRESIDENT’S AWARD
Title:
Author/Submitter:
Date of Birth:		Year at School:
School :
Teacher for Contact:
I certify that this entry is the work of the student concerned. Teacher's Signature:
Position: