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Library Prize Submission Form 2013
PCC student name
*
Enter the name of the PCC student.
PCC student email address
*
Enter the PCC e-mail address of the student.
PCC student phone number
*
Enter the phone number of the PCC student with area code.
Submission type
*
Paper or speech
Audiovisual project
Web page
Please indicate the type of project you are submitting.
Prize category
*
ESOL, ABE, DEV ED
100, 200 level classes
Please indicate the prize category you are submitting in.
Title of submission
*
Enter the title of your submission.
File to upload
*
Acceptable formats include .doc, .docx, .pdf, .rtf or .ppt. For other formats, contact library.prize@pcc.edu.
Term submission was authored
*
Spring 2012
Summer 2012
Fall 2012
Winter 2013
Select the term when you enrolled as a PCC student and created the submission project.
Course name and number
*
PCC Instructor name
*
The "A" grade for winning entries will be verified by the course instructor.
PCC instructor email address
*
Enter the e-mail address of the instructor.
PCC instructor phone number
Enter the phone number of the instructor with area code.
Student release
*
Yes, I understand
By selecting "Yes, I understand", I agree that if I am the winner to allow my work to be posted on the PCC Library website. I also agree to participate in publicity events, including the awards ceremony. I understand that if I do not acknowledge winning the prize by the required date, another winner may be chosen