LJC Essay Competition Registration Form

Lansing Juneteenth Essay Competition and Scholarship Program Student Registration & Essay Submission

Entries received after April 13, 2024 will not be eligible and will not be returned. Please read all information and contest rules before submitting essay contest entry. If you need more information, contact the Juneteenth Education Committee at Education@LansingJuneteenthCelebration.org.
Student Name*

First NameLast Name
Student Address*

Street Address

Street Address Line 2

CityState

Zip Code
Student Age*
Parent/Guardian Name*

First NameLast Name
Parent/Guardian Address (if different than student)

Street Address

Street Address Line 2

CityState

Zip Code
Primary Phone Number*

Area CodePhone Number
Alternate Phone Number

Area CodePhone Number
E-mail*
School Name/Location*
School Type*

Public/MagnetCharterHome SchoolFaith-BasedOther
Student Grade*

6th7th8th9th10th11th12th
Please select scholarship type (11th & 12 grade students only)

Juneteenth Bellamy-TaylorOlivet Scholarship
How was information about this contest communicated to you? (If other, list place/person)*

SchoolCommunity CenterLibraryChurchOther
Upload Student Essay *

Upload a File
Doc, Docx, or Pdf documents preferred. Essay should meet contest guidelines Cancelof
Upload Student Photo

Upload a File

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Upload Copy of Unofficial Transcripts (Olivet Scholarship Entries Only)

Upload a File

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Release:

By typing your signature, and selecting the "Submit" button, you are signing this Agreement electronically. You agree that your electronic signature is the equivalent of your manual/handwritten signature on this Agreement.

As a parent/guardian of the above mentioned student, your signature indicates the following: You are aware of your child’s essay submission to the 10th Annual Juneteenth essay contest and give permission for their participation. You and the student have read and understand the contest rules, guidelines and criteria. You understand that they will have their essay and photograph published electronically and in standard print format for general public viewing. Submitted essays become the property of the Lansing Juneteenth Committee and will not be returned.
Parent/GuardianSignature*
Please type name
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Lansing Juneteenth Essay Competition and Scholarship Program Student Registration & Essay Submission