EmailMe Form - Sioux Valley Optimist Essay Submission

Name *

First Last

Email *

Phone *

### - ### - ####

Address *

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region

Gender *

Male

Female

Date of Birth *

MM / DD / YYYY

Emergency Contact

If student is under the age of 18, we must have the parent or guardian information

Name

First Last

Relationship

Phone

### - ### - ####

Email

Address

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region

High School Information

High School Name

Graduation Date

MM / DD / YYYY

Or enter year of GED

High School Address

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region

High School Phone

### - ### - ####

The Essay Contest is sponsored by Optimist International to give young people the opportunity to write about their own opinions regarding the world in which they live. The approach can encompass a young person’s personal experience, the experience of their country or a more historical perspective. In additional to developing skills for written expression, participants also have the opportunity to win a scholarship.

Please review the eligibility and contest rules carefully on previous page before you submit your application and essay.

Essay MUST be a minimum of 700 words but no more than 800 words. Each entry must begin with a title page containing: topic, number of words, writer's name, address, phone number, name of school and date of birth.

1. Name

First Last

Attach a Word Document of your essay according to the official rules of the Sioux Valley Optimist Essay Contest.

I understand that this application is for the Sioux Valley Optimist Essay Contest submission and I am bound by the Sioux Valley Optimist deadlines and contest requirements.

I certify that the information is complete and accurate. I understand that my essay submission will be run through a plagiarism checker after submission.

If selected as the winner at the club level, I agree to abide by the policies and rules requested of the District Optimist International to advance for the District competition.

Do you understand and agree to the terms listed above?

Yes, I understand and agree to the terms listed above.

Name

First Last