2024 Lorine Niedecker Poetry Award

Writer's Name *

First Name

Last Name

Address *

Address Line 1

Address Line 2

City

State/Province

ZIP/Postal Code

Telephone Number *

Email *

Verify Email *

Poem #1

Title of Poem *

Journal/Publication *

Publication Date: *

Publisher Mailing/Web Address *

Poem #2

Title of Poem *

Journal/Publication (optional)

Publication Date

Publisher Mailing/Web Address

Poem #3

Title of Poem *

Journal/Publication (optional)

Publication Date

Publisher Mailing/Web Address

Poem #4

Title of Poem *

Journal/Publication (optional)

Publication Date

Publisher Mailing/Web Address

Poem #5

Title of Poem *

Journal/Publication (optional)

Publication Date

Publisher Mailing/Web Address

File Upload *

Please upload a single .doc, .pdf or .txt file of all poems being submitted. All manuscripts should use a standard (Times New Roman or similar) 12 point font; no more than one poem per page, please.

Entry Fee *

$25

$15 - for members of Arts + Literature Laboratory

Entry Fee Paid for Paper Submission

Statements *

I am a current Wisconsin resident

I have lived in Wisconsin for a significant period (five years or more)

I certify that the enclosed work, which I am submitting for the Lorine Niedecker Poetry Award contest, is my own original work.

Signature (typed) *

First Name

Last Name

Add 3% to my total amount to help cover the payment processing fees