The Elie Wiesel Foundation for Humanity
Entry Form

Please note that the Contest is only open to undergraduate juniors or seniors registered full-time at an accredited college or university in the United States during the fall 2009 semester. If you would like to enter the Contest, please fill out the following information.

DIRECTIONS: Please complete the below information and then hit submit. This will allow your information to be submitted electronically to our entries database. Once your information is submitted, a copy of the Entry Form will appear on your screen with all of the fields completed.

PLEASE NOTE: You must print and sign the completed Entry Form and include it with your three copies of your essay. Your essay will not be processed without this information.

PLEASE IGNORE THE DATE THAT APPEARS ON THE ENTRY FORM PAGE AFTER CLICKING SUBMIT.  THE CORRECT DUE DATE FOR ALL MATERIALS IS JANUARY 8, 2010.


 
First Name:
Last Name:
Year:
Essay Title:
College/University:
Graduation Date:
Major:
Address:
City:
State:
Zip:
Country:
Home Phone:
School Phone:
Email:

Faculty Sponsor Information:

Title:
First Name:
Last Name:
College/University:
Position:
Department:
Mailing Address:
City:
State or Province:
Zip:
Country:
Telephone:
Email:

Questionnaire:

How did you hear about our contest?
What made you decide to enter?
Other suggestions or comments?

Prize in Ethics Essay Contest,
The Elie Wiesel Foundation for Humanity
555 Madison Avenue
20th Floor
New York, NY 10022
Fax: 212-490-6006

Please refrain from sending your essay via registered mail.
Delivery confirmation is not necessary.


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