Nomination Form

ReVisions: Best Student Essays

Sponsored by the Department of English and Theatre

University of North Carolina at Pembroke

Author’s Name :

Title of Essay:

Course no. & name:

Major:

Class Year: Freshman Sophomore Junior Senior

Address:

Phone & email:

Faculty Sponsor :

Department:

Address:

Office Phone & email:

Please note the essay’s merits and any other pertinent comments about the student or his/her work. These comments may be quoted in the publication:

Faculty Sponsor’s Signature: Date:

Student : I grant the University of North Carolina at Pembroke permission to publish my essay, if chosen, in Best Student Essays. I also give permission for my work to be edited for spelling, punctuation, usage, and grammatical errors. I understand that parts of my essay may be edited to accommodate for space limitations in the magazine.

Student Author’s Signature: Date:

Please return form with attached submission (no name or identifying marks on submission please) to Dr. Susan Cannata Dial Humanities 117.