MULTICULTURAL CENTER
PHOTOGRAPHY CONTEST ENTRY FORM
NAME
ADDRESS
STUDENT: FACULTY
Year of Study STAFF
Major Field OTHER
Year of Graduation
Email address
Telephone
CATEGORY
Black & White
Color
Title of Entry
Description of Process
CONFIRMATION AND
VALIDITY OF ENTRY
I affirm that the above-listed entry is an original photograph which represents my work only.
Signature
Date
Student ID necessary upon submission
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FOR OFFICE USE
ONLY
Name of Composition
Date Received Received
by
Eligible for prizes: Yes No
ENTRY #: