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// Sententiae // Submission Form Complete this form and attach it to your submission(s). Place your entry in one of the boxes located in the High School Office, Counseling Office, the High School Visual Arts Room, and Room 3209. Or, email this form and your submission(s) to isblitmag@gmail.com .

**The deadline for submissions is Friday, February 17th 2012 **

Name ________________________________________ Grade ______________ Email address________________________________________

Write a title for each of your works. (For art pieces, include medium and dimensions). ✔ Check in box if work is **based on the topic of ‘sin”.** if based on theme  || ² Your name should appear only on the submission form, not on each piece, to ensure anonymity during the selection process. __Yes, your work remains anonymous during the selection process.__ ² All work must be completely original. ² For artists submitting artwork, please include details regarding the media of your piece. (e.g. water color, digital photography) ² You may submit up to five pieces of writing and five pieces of art work. ² Work may be submitted on any topic; however, if you would like challenge yourself, “sin” is the selected topic for this edition. Submissions can reflect this topic or incorporate the word (or any derivative). **Be sure to note if your work is based on this topic.** ² Submissions can be attached to this form or submitted electronically to isblitmag@gmail.com <span style="font-family: 'Garamond','serif'; font-size: 16px;">. **Make sure you also submit this form electronically or in a collection box.** ² <span style="font-family: 'Garamond','serif'; font-size: 16px;">If published, your work will appear with your name and grade level.
 * || <span style="font-family: 'Garamond','serif'; font-size: 16px;">Title of Work   ||   ✔
 * <span style="font-family: 'Garamond','serif'; font-size: 19px;">A  || || ||
 * <span style="font-family: 'Garamond','serif'; font-size: 19px;">B  || || ||
 * <span style="font-family: 'Garamond','serif'; font-size: 19px;">C  || || ||
 * <span style="font-family: 'Garamond','serif'; font-size: 19px;">D  || || ||
 * <span style="font-family: 'Garamond','serif'; font-size: 19px;">E  || || ||
 * <span style="font-family: 'Garamond','serif'; font-size: 16px;">Guidelines: **

<span style="font-family: 'Garamond','serif';">I certify that all of the submitted pieces are my own original creations. <span style="font-family: 'Garamond','serif';">__________________________________________________ _________________ <span style="font-family: 'Garamond','serif';">Signature Date