HomeMy WebLinkAboutPoetry in Public 2017 Submission Form Word
POETRY IN PUBLIC 2017
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 3, 2017
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.
POEM SUBMISSION
Please use the space below to enter your poem. You can submit your poem in two ways:
Submit your poem via e-mail - complete this form, save it as a separate document
on your computer, and send the saved document electronically to marcia-bollinger@iowa-city.org
Mail or deliver this completed form to:
Marcia Bollinger
City of Iowa City
410 E Washington
Iowa
City, Iowa 52240
**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.
Type in poem below. Tab to move down to the next line.