HomeMy WebLinkAboutPoetry in Public 2016 Submission Form (3)
POETRY IN PUBLIC 2016
SUBMISSION COVER SHEET
Please send submissions to Marcia Bollinger, Iowa City Public Art Program,
City Hall, 410 East Washington Street, Iowa City IA 52240
Submission Deadlines is 5:00 p.m. on Friday, February 5, 2016 LIMIT ONE POETRY SUBMISSION PER POET Submissions are limited to poems of 7 lines or less or 7 lines excerpted from a longer poem.
Only Johnson County residents are eligible to submit poems. Please note that if the poem you are submitting has been previously published in a book, magazine, journal, newspaper, or other form, you will need to have permission for the poem to be used in the Poetry in Public Project. It is the poet’s responsibility to get this permission prior to
submission.
Title of poem
Has this poem been previously published? If so, where? And do we have permission to reprint?
Poet’s Name
Address City, State, Zip
Phone Number E-mail Address**
FOR STUDENTS ONLY: (18 years or younger)
School Age Grade
ONLY if submitted by School Classroom:
Teacher’s Name Teacher’s Email
**An email address of a parent, guardian or teacher is strongly encouraged for submissions by younger children. Please specify the relationship.
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POEM SUBMISSION Please use the space below to enter your poem. You may submit your poem via e-
mail, complete this form, save it as a separate document on your computer, and then
send it electronically to marcia-bollinger@iowa-city.org **Note Confirmation of receipt of your poem will be e-mailed to you within two business days. If you do
NOT receive a confirmation, please contact Marcia Bollinger at 319-356-5237 or marcia-bollinger@iowa-city.org.