2015-2016
BOOKWORM SUBMISSION FORM
Author's Name _________________________________________
Title _________________________________________________
Teacher and Grade ______________________________________
Date _________________________________________________
Signature of Teacher or Parent ______________________________
(Signature indicates that an adult helped proofread and edit this story and believes it to be of Bookworm quality for this student)
Checklist (please make sure the following steps are all complete):
Story is typed using MS WORD template from H&S Website
Story has been proofread by author and an adult
Copy/paste above information into the email, attach your
story and email to montgomerybkwrm@comcast.net
If you are unable to type/email the story, please contact Lisa Upright (ljupright@msn.com), Jennifer
Mahon (jennifer_ittelson@yahoo.com) or Kim Hanrahan (hanrahanfamily5@gmail.com)
For Bookworm Use Only:
BOOK # __________________
All Stories must be submitted by:
April 15, 2015