This page may be reproduced without prior consent. All entries must be postmarked no later than March 15, 1999. Entries postmarked after this deadline cannot be accepted. Please type or print in ink all information except for two items: your signature and your teacher's signature that verify no use of plagiarism.
Name:_______________________________________ T-shirt size:
M L XL
Grade:___________ Age:______________
Home Phone:_______________________
Address:________________________________________________________________
City, State, Zip:___________________________________________________________
Name of Teacher:_________________________________________________________
Name of Principal:_________________________________________________________
Name of School:__________________________________________________________
Address of School:_________________________________________________________
City, State, Zip:___________________________________________________________
Telephone of School:_______________________________________________________
Name of Local Newspaper:__________________________________________________
Address of Local Newspaper:________________________________________________
City, State, Zip:___________________________________________________________
Entry contains approximately______________words.
Title of Essay:____________________________________________________________
I/my teacher learned about this essay program through:
Sleep Research Society Member
Notice in Teaching Publication
Internet: http:\\________________________________________________________
Other ________________________________________________________________
I understand that plagiarism is punishable by law, and I hereby certify that this entry is my own original idea and work and not plagiarized (see official rules). I have read and fully understand all the essay rules.
Signature of Student_____________________________________________
Date__________________
I am familiar with this student's writing. I have read this entry.
I am satisfied that it is his or her own original idea and work not plagiarized
(see official rules) and represents his or her best efforts. (Note:
Guidance, constructive criticism, and grammar direction of a general nature
provided by a teacher during classroom hours are acceptable under the contest
rules.)
Signature of Teacher_____________________________________________
Date___________________
All entries must be postmarked no later than March 15, 1999.
No entries can be acknowledged, critiqued, or returned.
Mail entry blank and essay to:
Essay Awards Program
Sleep Research Society
6301 Bandel Road, Suite 101
Rochester, MN 55901