THE NOTTINGHAM HISTORIC GREEN SPACES POETRY COMPETITION
ENTRY FORM
(PLEASE PRINT)
Name:
Address:
Tel:
Number of Poems submitted:
Poem 1:
Title:
Project theme(s)/sub-topic(s):
Number of pages:
Poem 2:
Title:
Project theme(s)/sub-topic(s):
Number of pages:
Poem 3:
Title:
Project theme(s)/sub-topic(s):
Number of pages:
Email
1
2
3
(please circle)
THE NOTTINGHAM HISTORIC GREEN SPACES POETRY COMPETITION
CONSENT FORM
Thank you for deciding to submit a piece of original poetry to the Nottingham Green Spaces Poetry
Competition.
This form gives the organisers your permission to use your work as part of the Green Spaces Project’s
activities.
In signing this form you agree that the Social World of Nottingham’s Historic Green Spaces project may
use your work as part of its project outcomes, either in print or on any related digital media platforms
including 3rd party websites.
I (PRINT NAME)
confirm that I have read and understood the information above and give permission for The University
of Nottingham’s Social World of Nottingham’s Historic Green Spaces, to use the work entered into this
competition, as detailed in this form.
Signature:
Date:
Returning this document by email, with or without a signature, will be taken as consent
THE NOTTINGHAM HISTORIC GREEN SPACES POETRY COMPETITION
OPTIONAL: Entrant’s Survey
Please note: this survey is OPTIONAL and is purely to help the project give feedback to the funding
body.
The Social World of Nottingham’s Historic Green Spaces project is funded by the Arts and Humanities
Research Council. The project team is required to provide the funders with feedback on the outcomes
of their events and activities. To help with this we ask that you complete the survey below and return it
to Judith Mills either by email at [email protected] or by post to Judith Mills, Department
of History, University of Nottingham, Lenton Grove, Nottingham, NG7 2RD
As it is anonymous, it will have NO EFFECT on the results of the competition. It will be retained by the
University team and will not be passed on to the judging panel. You can return the survey either with
your competition entry or in a separate mailing.
About the project:
How did you hear about the project?
Did you find the website easy to use? How can it be improved?
Did you find the subject interesting in its own right (as well as source material for your entry)?
What areas were most of interest?
About you (you do not have to complete this section if you don’t want to):
Age: (please
tick box)
18-29
30-39
40-49
Occupation: ___________________________________
50-59
60-69
over 70
Gender: __________________
If you have any further comments about the competition, the website or any other aspect of the
project, please add these to your covering email or, if posted, as an additional sheet.