Last Name: ___________________________________________________________________________________

First Name: ___________________________________________________________________________________

Street Address: ________________________________________________________________________________

City: __________________________________________ State: _______________ Zip:________________

Phone (home, cell) ______________________________________________________________________________

E-mail: _________________________________________________________________________________________

Current School Name & Address: _____________________________________________________________________

Where will you be attending school in the fall of 2007*: ________________________________________________

School Web Site: _______________________________________________________________________________

*You will need to provide evidence of current enrollment or acceptance for the Fall 2007 term prior to payment of the scholarship to the school.

I have read the rules of the NPG Population Essay Contest (see above) and hereby agree to them. I understand NPG is not responsible for late or lost essays. Entries will not be returned, and all entries become the property of NPG. All decisions are within the discretion of the NPG Scholarship judges and all decisions are final. Applicants grant NPG full rights to use their name and essay for promotional or other purposes. Any taxes are the responsibility of the winner.

The attached essay is original, entirely my own work, and not offered for publication elsewhere.

Author's Signature: __________________________________________ Date: ________________

Parent/Guardian Signature (if author under age 18)

__________________________________________

Mail to:
NPG Essay Contest
PO Box 1265
Teaneck, NJ 07666