2012 Black History Month Essay Contest Cover Sheet □

2012 Black History Month
Essay Contest Cover Sheet
Please complete this form and submit it with each entry.
Submit Entries to: EPB, Attention: Marketing
PO Box 182255, Chattanooga, TN 37422-7255
Or essaycontest@epb.net
Contest Category
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Level I: 6th & 7th grades
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Level II: 8th & 9th grades
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Level III: 10th-12th grade
Student’s Name: Current Grade:
Essay Title: School: Student’s address (Street Address, City, State, Zip): Student’s phone number:
Student’s e-mail address:
Student’s teacher: Teacher’s (or parent’s) signature: List the references and resources used to develop the essay: Please Note:
* Students’ names should be on this cover sheet only. Names should not be on the essay.
* Essays will not be returned.