Cover
Sheet
c
Student Short Story c
Student Poetry c
General Short Story
Manuscript
Title:
Name:
Pseudonym
(if preferred):
Permanent
Address:
Home
Phone Number: ( )
Dorm/School
Phone Number: ( )
Work
Phone Number: ( )
Birth
date (month/day/year):
E-mail
Address:
Social
Security Number (Information needed to process payment upon acceptance):
_____-___-________
Gender: ___Male
___Female
Ethnicity (needed for accurate illustrative
portrayal):
Grade (as
of fall of 2007):
Major:
School
Name & Address (as of fall of 2007):
Home
Church Name:
City and
State:
Hobbies,
Interests, Other:
This
story is unpublished and true. The incidents in this manuscript happened as
described.
Signature
__________________________