Divine Poetry Competition 2015 When I Grow Up I Want To Be a Cocoa Farmer Entry Form Part 1: I am a teacher and I’m submitting a number of poems Teacher’s Name: ------------------------------------------------------------------------------------------------------------------Position Held (ie form teacher, English teacher, RS teacher): ------------------------------------------------------------------------------------------------------------------Email Address: -----------------------------------------------------------------------------------------------------------------School Name & Address: ------------------------------------------------------------------------------------------------------------------- ------------------------------------------------------------------------------------------------------------------Age Group (7-11, 12-16, 17-Adult): _______________________________________________________________________ Number of poems submitted: _______________________________________________________________________ Please tick this box if you do not wish to be sent occasional educational & marketing materials by Christian Aid or Divine Chocolate • We regret that we can only receive entries from the UK and Northern Ireland • We regret that no entries can be returned • Prepare to be famous! Divine Chocolate and Christian Aid reserve the right to use any entries, and undertake publicity, in whatever ways they deem appropriate. Winning poems will be published on the Divine and Christian Aid websites Entry Form Part 2: I am an individual submitting one or more of my own poems Name: ------------------------------------------------------------------------------------------------------------------Age Category (7-11, 12-16, 17-Adult): ------------------------------------------------------------------------------------------------------------------Email Address: -----------------------------------------------------------------------------------------------------------------Postal Address: ------------------------------------------------------------------------------------------------------------------- ------------------------------------------------------------------------------------------------------------------Number of poems submitted: _______________________________________________________________________ Please tick this box if you do not wish to be sent occasional educational & marketing materials by Christian Aid or Divine Chocolate • We regret that we can only receive entries from the UK and Northern Ireland • We regret that no entries can be returned • Prepare to be famous! Divine Chocolate and Christian Aid reserve the right to use any entries, and undertake publicity, in whatever ways they deem appropriate. Winning poems will be published on the Divine and Christian Aid websites