proVERSE Prize for Poetry Submission Form
Thank you for your interest in the proVERSE Prize for Poetry! At proVERSE, we are proYOU, proRIGHTS, and proCHANGE.
Name
First Name
Last Name
Email
example@example.com
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
Please enter a valid phone number.
Academic Institution
Graduation Year
2029
2028
2027
2026
Attached Files (up to 5 poems)
Browse Files
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Cover Letter (Please include a third person bio of yourself here)
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