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Reflections
Student Anthology
Essay Contest
(Please Print)
Student’s Name
Essay Title
English 1023 Instructor
Assignment Description
Student’s E-mail Address
Student’s Phone Number
Student’s Address
Pledge of Academic Honesty
I, ____________________________________________, vow that this essay, entitled
_________________________________________, was written entirely by me. I understand the
rules and guidelines of the contest. I have documented and cited all words or ideas from
another source. I hereby give the Communication and Arts department of NWACC
permission to print, distribute, and place on a Web site this essay and my name as part of
Reflections.
Signature
________________________________________________________
Parent/Guardian signature
(required if student is under 18 years of age)
________________
Date