GLASSEN ETHICS ESSAY CONTEST ENTRY FORM Student’s name: _____________________________________________ Title of Essay: ______________________________________________ Student’s Contact information (Address and Telephone): __________________________________________________________ __________________________________________________________ Name of School: ____________________________________________ Word Count: _____________________ Advising Teacher’s Name and Signature: ___________________________ ______________________________ Student’s Signature, attesting to the originality of his or her work: ___________________________ PLEASE SUBMIT THIS FORM AND A COPY OF YOUR PAPER TO: Centre for Professional and Applied Ethics University College – 220 Dysart Road University of Manitoba Winnipeg Manitoba R3T 2M8 Glassencontest@gmail.com Note: Only essays post-marked on or before the contest deadline will be considered.