ENTRY FORM
Title of entry: ____________________________________________
Genre or type of entry:___________________________________
Author's name: ______________________________________
Address: _____________________________________________
Telephone number(s): ____________________________________
Email Address_________________________________________
College(s) and semester(s) during which student has been most
recently enrolled at Loyola (circle those that apply):
___ Spring 2006 ___ College of Humanities and Natural Sciences
___ Spring 2 2006 ___ College of Business
Summer 1, 2006 ___ College of Social Sciences
Summer 2, 2006 ____ College of Law
Fall 2006 ___ College of Music and Fine Arts
Spring 2007
I hereby affirm that my entry in this contest is original and entirely my work.
Student's signature: ________________________________________
Date: ____________________________________