CLASS:
No.:
[department use only]
Western Illinois University Writing Program
2015 Bruce H. Leland Composition Essay Contest
For essays written in Spring or Fall 2015
To enter the 2015 Leland Essay Contest:
1. Fill out this form. Please print or type, completing all form fields.
2. Read the essay rules, which are available from the Writing Program office and web site.
3. Attach a printout of your completed essay. Make sure your name is not printed on any page.
4. Sign the form. Incomplete or unsigned forms will not be processed.
5. Submit this form and your essay to the Writing Program office, Simpkins 129, by Friday,
January 29, 2016, 4pm.
Name: _____________________________________________________________________
WIU ID#: __________________________________________________________________
Local Address: ______________________________________________________________
___________________________________________________________________________
Local Phone: ________________________________________________________________
Permanent Address: __________________________________________________________
___________________________________________________________________________
Permanent Phone: ____________________________________________________________
Email Address: ______________________________________________________________
Class (circle one):
ENG 100
ENG 180
Semester (circle one):
Spring 2015
Fall 2015
ENG 280
Class Section #: ______________________________________________________________
Instructor’s Name: ____________________________________________________________
Title of Paper Submitted: _______________________________________________________
Type of Assignment: __________________________________________________________
I have read the rules of the essay contest. I grant the WIU Writing Program the right to publish
my essay, named above, if it is among the contest winners.
________________________________
________________________________
Signature
Date