Dignity Poetry Prize

The Senate District 04 Human Dignity Poetry Prize is awarded to three residents of SD 04 who produce an exceptional poem on the meaning of Human Dignity. Complete the form below to particpate.

Poetry Competition

First Name

Last Name

Date of Birth

Contestants must reside in the territorial boundaries of Senate District 04. Please visit the PA General Assembly's "Find Your legislator" web tool to confirm residency in SD 04. For the PA Senate's "Find Your Legislator" tool, please visit: www.legis.state.pa.us/cfdocs/legis/home/findyourlegislator/

Do you live in Senate District 04?

Yes

Address

City

State/Province

Zip/Postal

Phone Number

Poem Submission

Title of Your Poem

Please upload your poem here. Submissions must be in a Microsoft Word or PDF Document. Multiple submissions are not accepted.

Maximum file size: 104.86MB

OPTIONAL: Please upload a video recording of your poem. The file should be in mp.4 format only.

Maximum file size: 104.86MB

By selecting "I Agree," you verify that you are submitting an entirely original poem. Contestants will retain the copyright of their submissions. By completing this form, contestants allow the Office of Senator Art Haywood to print, publish, showcase, and distribute their submissions. The Office of Senator Art Haywood reserves the right to incorporate and disseminate the submission in any form.

I Agree

If you are human, leave this field blank.

Dignity Poetry Prize

Poem Submission

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