Elephant and Fire, Nepal

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.