Tributary Submission Form

 

Name:     ______________________________________________________________

Mailing Address:     _______________________________________________________

                               _______________________________________________________

Phone:     ___________________________

Email:      _______________________________________________________________

Class Standing (circle one):       Freshman       Sophomore       Junior        Senior        Graduate

Major:     ____________________________________ (You may also include a short bio with pertinent information such as previous writing experience or previous publication - on the back of this form.)

Submission Category (circle one):          Poetry          Fiction          Non-Fiction          Art*

*If submitting art, please list type of media (photograph(s), slides, pen & ink, etc.):

____________________________________________________________________

For Poetry/Fiction/Non-Fiction, please list the title of each work (up to five works):

1.    _________________________________________________________________

2     _________________________________________________________________

3.    _________________________________________________________________

4.    _________________________________________________________________

5.    _________________________________________________________________

Submission Fee:     $5.00 for one submission                  $10.00 for up to five works

Fee must be included with submission form.  See submission guidelines.