BBB Use Only # ______

Better Business Bureau Serving East Alabama, West & Southwest Georgia

Students of Integrity Essay Contest Entry Form

Submit this completed form along with a copy of your essay. Remember, your name must NOT be on any pages of the manuscript other than this accompanying entry form. This ensures that judges will see no identifying information about entrants.

Essay Title: ______

Word Count (excluding words in title of essay): ______

Your Name: ______

Home Address: ______

City, State, Zip Code: ______

E-mail Address: (____) ______-______

School's name (or specify home school): ______

School’s City, State, Zip Code: ______

School's telephone number (if applicable): (_____) ______-______

Parent's or guardian's name: ______

Parent's or guardian's contact phone number: (_____) ______-______

Please visit http://www.bbb.org/columbus-georgia/get-to-know-us/about-us/42-county-service-area2/ to ensure that you reside in our qualifying service area.

Entries are to be received or postmarked no later than February 20, 2017

and should be e-mailed, mailed, or delivered to:

The Better Business Bureau of East AL, West Southwest GA

Students of Integrity Essay Contest
500 12th Street

PO Box 2587

Columbus, Georgia 31902-2587

or

Email to:

Subject line: Essay

I am submitting an original essay to the Better Business Bureau Students of Integrity Essay Contest. I certify that this essay is my own work and that I have abided by all guidelines and requirements of the Students of Integrity Essay Contest. I understand that my essay will not be returned to me and will become the property of the Better Business Bureau to use at its discretion in activities related to the promotion of ethics, trust and integrity in the American Free Enterprise

System and for publicizing the contest. I further understand that the judges' decisions are final and that if I am selected as a winner of the contest, I will be asked to attend the BBB’s Annual Luncheon and Awards Ceremony as a guest of the BBB.

I hereby authorize that the Better Business Bureau Serving East AL, West & Southwest GA (BBB) can publish ONLY my name, my city and state, along with my school’s name, in print and online for use in the BBB’s announcements and notifications of Students of Integrity essay winners and ONLY any photographs taken of me at the BBB’s Annual Luncheon and Awards Ceremony.

I hereby release and hold harmless the BBB from any reasonable expectation of privacy or confidentiality for myself in reference to the information specified above and my parent or legal guardian also consents and authorizes the BBB to use this information as stated. My parent or legal guardian will authorize this by signing below as well. I acknowledge that my participation is voluntary and that I, nor my family, will receive financial compensation of any type associated with the publication of this information and photographs. I release the BBB, its staff, and any third parties involved in the creation or publication of this information and photographs from liability for any claims by me or a third party in connection with my participation.

Student’s Signature: ______Date: ______

Parent’s Signature: ______Date: ______