Tyner Prizes Student Submission Form
Student Name_____________________________________
Student Phone Number_______________________ Email address_________________
Complete Mailing Address____________________________________________________
Student ID____________________
Date work was written_________________________
Title of Work_______________________________________________________________
My signature certifies that the work submitted is my own original work, completed since January 1, 2011; that the work has been appropriately nominated by a member of the faculty; that the work is complete, meets nomination guidelines, and has been deemed suitable for publication; that I will edit the work as necessary prior to any publication (deadline 31 May 2012).
Signature___________________________
Date_______________________________
(If you are requesting that a professor consider your work for nomination, please attach this form to your work and give the packet to the professor. The professor will then need to fill out the Faculty Nomination Form. Nominations must be submitted by March 16, 2012.)