Poem Contest Submission Form 3rd-5th Grade

This form is designed for students to submit poems for the Digital 2021 CCEW Illustrated Poem Contest. The deadline to submit entries is Sunday, April 25, 2020 at 11:59 PM Eastern.
Entries must be submitted to the correct local contest in order to be valid. INVALID ENTRIES WILL BE DISQUALIFIED. You must look up your correct ACS local section name using your ZIP code via the lookup platform at www.ccewlookup.acs.org. If your ZIP code falls in an undesignated area, please find your nearest ACS local section by searching by state.

School or Sponsoring Group Info

Poems must be submitted through a valid school or sponsoring group (e.g., your local Homeschool Association, Boys and Girls Club, Scout Troop, 4-H, etc.).

Poem Upload and Release Agreement

Poems must be submitted as a High-Resolution JPEG, PNG, or PDF. DO NOT compress or reduce the resolution of the original image.

Was your drawing created digitally using an app or illustration software? *
I hereby grant to the American Chemical Society, its affiliates and licensees (collectively referred to as the "Society"), royalty-free permission, including the exclusive worldwide, irrevocable rights in all languages, to reproduce in all formats, including, but not limited to print, microfilm, electronic, and/or CD-ROM, the image submitted.

Further, I hereby waive my right to inspect or approve any copy that is used in connection with the image and release and discharge the Society from any and all claims arising out of use by the Society of the image for the purposes described above. *
National Chemistry Week (NCW) and Chemists Celebrate Earth Week (CCEW) are programs brought to you
by the Office of Science Outreach in the American Chemical Society Education Division.
If you have questions or comments, please contact us at outreach@acs.org.