Submission Form

Name:                  _______________________

Degree Program: _______________________


Circle One:     Master’s Student          Doctoral Student


Email:                    _______________________

Phone:                    _______________________

Postal Mail:            _______________________


Type of Submission (circle one):

Poem                     Short Story-Fiction        Short Story-Non-Fiction

Scholarly Essay    Scientific Paper             Abstract


Project Advisor's Signature: _______________________


Leave submissions in Zink 365 by January 15, noon.