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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.
Your Local Section Contest
*
🛈
Akron
Alabama
Alaska
Ames
Auburn
Baton Rouge
Binghamton
Brazosport
California
California Los Padres
Carolina-Piedmont
Central Arizona
Central Arkansas
Central Massachusetts
Central New Mexico
Central New York
Central North Carolina
Central Ohio Valley
Central Pennsylvania
Central Texas
Central Utah
Central Wisconsin
Chattanooga
Chemical Society of Washington
Chicago
Cincinnati
Cleveland
Coastal Georgia
Colorado
Columbus
Connecticut Valley
Cornell
Corning
Dallas-Fort Worth
Dayton
Decatur-Springfield
Delaware
Detroit
East Central Illinois
East Tennessee
East Texas
Eastern New York
Eastern North Carolina
Erie
Florida
Georgia
Greater Houston
Green Mountain
Hampton Roads
Hawaii
Heart O' Texas
Huron Valley
Idaho
Illinois Heartland
Illinois-Iowa
Indiana
Indiana-Kentucky Border
Inland Northwest
Iowa
Jacksonville
Joliet
Kalamazoo
Kanawha Valley
Kansas City
Kansas State University
Kentucky Lake
LaCrosse-Winona
Lake Superior
Lehigh Valley
Lexington
Louisiana
Louisville
Maine
Mark Twain
Maryland
Memphis
Michigan State University
Middle Georgia
Mid-Hudson
Midland
Milwaukee
Minnesota
Mississippi
Mobile
Mojave Desert
MO-KAN-OK, The Tri-State
Montana
Nashville
Nebraska
New Haven
New York
North Alabama
North Carolina
North Jersey
Northeast Georgia
Northeast Tennessee
Northeast Wisconsin
Northeastern
Northeastern Indiana
Northeastern Ohio
Northern New York
Northern Oklahoma
Northern West Virginia
Northwest Central Ohio
Northwest Louisiana
Oklahoma
Ole Miss
Omaha
Orange County
Oregon
Orlando
Ouachita Valley
Ozark
Panhandle Plains
Penn-Ohio Border
Penn-York
Pensacola
Permian Basin
Philadelphia
Pittsburgh
Portland
Princeton
Puerto Rico
Puget Sound
Purdue
Red River Valley
Rhode Island
Richland
Rio Grande Valley
Rochester
Rock River
Sabine-Neches
Sacramento
Salt Lake
San Antonio
San Diego
San Gorgonio
San Joaquin Valley
Savannah River
Sierra Nevada
Silicon Valley
Sioux Valley
Snake River
South Carolina
South Central Missouri
South Florida
South Jersey
South Plains
South Texas
Southeastern Pennsylvania
Southern Arizona
Southern California
Southern Illinois
Southern Indiana
Southern Nevada
Southwest Georgia
Southwest Louisiana
St. Joseph Valley
St. Louis
Susquehanna Valley
Tampa Bay
Texas A&M
Toledo
Trenton
Tulsa
University of Arkansas
University of Missouri
Upper Ohio Valley
Upper Peninsula
Virginia
Virginia Blue Ridge
Wabash Valley
Wakarusa Valley
Washington-Idaho Border
Western Carolinas
Western Connecticut
Western Maryland
Western Michigan
Western New York
Wichita
Wichita Falls-Duncan
Wilson Dam
Wisconsin
Wooster
Wyoming
Student First Name
*
Student Last Name
*
Student Grade
*
3rd Grade
4th Grade
5th Grade
Parent/Guardian First Name
*
Parent/Guardian Last Name
*
Parent/Guardian Email
*
Parent/Guardian Street Address
*
Parent/Guardian City
*
Parent/Guardian State
*
Parent/Guardian ZIP
*
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.).
School or Sponsoring Group Name
*
School or Group Contact First Name
*
School or Group Contact Last Name
*
School or Group Contact Email
*
School or Group Street Address
*
School or Group City
*
School or Group State
*
School or Group ZIP
*
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.
Upload your poem here:
*
Was your drawing created digitally using an app or illustration software?
*
Yes
No
What app or illustration software did you use?
*
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.
*
I have read the foregoing and fully understand its contents.
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
.