VLV STUDENT ESSAY COMPETITION 2010 ENTRY FORM

in association with Channel 4 Television

Please print and complete all parts of this form and attach securely to your entry.  If an acknowledgement is required, please enclose an sae.  Entries will not be returned.  Please send to VLV Ltd, PO Box 401, Gravesend, Kent DA12 9FY and mark the envelope 'Student Essay Competition'.

 

  • NAME:
  • ADDRESS

 

 

  • TELEPHONE NUMBER
  • E-MAIL ADDRESS

     

  • UNIVERSITY OR INSTITUTION ATTENDED

 

  • COURSE TITLE

 

  • COURSE TUTOR/LECTURER NAME

 

  • COURSE TUTOR/LECTURER TELEPHONE NUMBER

 

  • COURSE TUTOR/LECTURER E-MAIL ADDRESS

 

  • I certify that the entry is the sole work of the entrant.

 

  • My Essay is for Category (A) Under-graduate or equivalent .......

                                                     (B)  Post-graduate or equivalent ........             (please tick)

 

  • Signature of Author

 

  • Date
  • Please tick if you are happy to receive e-mails about other VLV activities & events .......
  • I certify that the entrant is studying for an undergratuate degree, a postgraduate qualification, or an NCTJ recognised journalism qualification.
  • Signature of CourseTutor/Lecturer

 

  • Date
  • Please tick if you are happy to receive e-mails about other VLV activities & events ......