
Please
complete this form in full and attach it to the front of your essay
submission.
Name: _________________________________________
.
Grade level :
___________
.
Address: ________________________________________
.
City: _____________________
State:
_____ Zip: __________
Telephone:
( _____ ) _________________
Email: ____________________________
School:
_________________________________________
School Address: _________________________________________________
Guidance Counselor's Name: ____________________________________________
Guidance Counselor Email Address:_______________________________________
I
hereby
certify: 1) I have read the rules of this essay contest; 2) This essay
is my
own work product; 3) I understand that my essay will not be returned to
me and
will become property of International College Counselors and that the
judges
decisions are final; 4) I am eligible to enter this contest, and if
selected,
able to be recognized as a winner of this contest.
Date: ___________________ Signed: _______________________
.
Guardian
name
_____________________ Signature: _____________________
Please
remember the theme of this contest: “What Makes a
Good College Education?”
Please
mail
all essays to:
Please call
Barry Liebowitz (954)
414-9986 or email info@internationalcollegecounselors.com
if you have any questions.
The deadline for submissions is
April 1, 2012.