
World Scholars Photo Contest Application Form
2004 Contest Eligibility Requirements:
Send to:
Academic Programs Abroad
Eastern Michigan University
103 Boone Hall
Ypsilanti, Michigan 48197
Student Information ( Please Print or Type)
Date of Application ___________________________________ E.M.U.#_____________________________________
First Name___________________________________ Last Name____________________________
Street Address_____________________________________________________________________
City_________________________________________ State ______________ Zip Code__________
Telephone Number ( )___________________________
E-mail Address ____________________________________________________________________
Study Abroad Program______________________________________________________________
Entry #1
People
Place
Title of photo_________________________________ Location of photo________________________
Date photo was taken_________________________
Entry #2
People
Place
Title of photo_________________________________ Location of photo________________________
Date photo was taken_________________________
I have read, understand and accept the rules of the Academic Programs Abroad World Scholars Photo Contest. I verify that the photographs submitted are my own original work, and that all information submitted is accurate and truthful. I authorize the Office of Academic Programs Abroad to publish, distribute, duplicate or alter any of the photos I have submitted in order to help promote study abroad at Eastern Michigan University.