2013-2014 luMPA SLudenL Lssay ConLesL- LnLry lorm

lease prlnL.
name:
Pome address:
ClLy:SLaLe:Zlp:
Pome phone number:
Crade:
School:
School address:
ClLy: SLaLe: Zlp:
School phone number:
Supervlslng Leacher/Advlser
1eacher/Advlser verlflcaLlon
l have read Lhe enclosed essay and verlfy LhaL lL reflecLs Lhe above-named sLudenL's orlglnal work.
SlgnaLure _________________________________
uaLe _____________________________________
1hls enLry form musL accompany your essay.
All enLrles musL be posLmarked on or before lebruary 18, 2014.
Mall Lo:
luMPA Lssay ConLesL c/o Moonyene !ackson-Amls, Lsq.
.C. 8ox 2318
LasLon, Maryland 21601