Historical Fiction Competition Entry Form

* Student's Name
* Student's Age
* Student's School
* Student's Year Level
* Name of Teacher Contact
* Teacher's Email Address
Teacher's Contact Number

Certification of Originality
I hereby declare that this entry is my/our own work and that, to the best of my/our knowledge and belief, it contains no material previously published or written by another person or organisation either online or in hard copy, except where due acknowledgment is made within the entry.


1. I/we declare that I am/we are the guardians/parents of the entrant, creator of the entry, and shall ensure that the entrant, so far as possible, understands the statements and obligations in the following declaration. I/we make the following declaration on behalf of the entrant in relation to his/her entry.

2. I/we accept that entry into the competition is subject to the terms of this declaration and is submitted according to the rules of the History Teachers’ Association of Victoria Historical Fiction writing contest. I/we accept that the judges’ decision is final and that no correspondence or reconsideration will be entered into. I/we understand that acceptance of any prize is conditional on full participation in any program or presentation organized for prize winners.

3. I/we accept that the photo or image of the entrant may be published. I/we accept that the entry remains the property of the History Teachers’ Association of Victoria Historical Fiction writing contest and assign all intellectual property rights in the entry to the History Teachers’ Association of Victoria Historical Fiction writing contest from the date of submission of the entry.

4. I/we give consent to History Teachers’ Association of Victoria Historical Fiction writing contest (and other assignees of the intellectual property in the entry) to any act, omission or thing by use the entry (and any information provided in the entry) for the purposes of promoting, publicising or reporting the History Teachers’ Association of Victoria and for use in conjunction with similar activities conducted by the History Teachers’ Association of Victoria in relation to the entry that would constitute an infringement of the moral rights of the entrant of attribution and integrity of authorship. This consent extends to any adaptation, reproduction, communication or other similar use of the entry (and any information provided in the entry) by the History Teachers’ Association of Victoria’s Historical Fiction writing contest and other assignees of the intellectual property.

5. I/we accept that the entry remains the property of History Teachers’ Association of Victoria and assign all intellectual property rights in the entry to the History Teachers’ Association of Victoria Historical Fiction writing contest from the date of submission of the entry.

6. I have read the Privacy Notice set out in this Declaration and consent to the entrant’s personal information being used and disclosed by the History Teachers’ Association of Victoria in accordance with the provisions contained in the Privacy Notice.

7. I understand that the History Teachers’ Association of Victoria will not otherwise disclose my personal information unless required or authorised by law.


​Please upload your file below.
Entries must be word-processed. Original illustrations may be included. A maximum length of 4000 words applies.


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