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NAACP ACT-SO COMPETITION APPLICATION
2021
NAACP Dane County #36AB
This section is to be completed by student applicant.
*
Indicates required field
Student Name
*
First
Last
Preferred Phone Number
*
Home Address
*
Line 1
Line 2
City
State
Zip Code
Country
Student's Primary Email
*
Secondary Email
*
NAACP Member?
*
Yes
No
How Did You Hear About ACT-SO?
*
ACT-SO Rep at my school
NAACP Member
Friend or Parent
Other
Other ways you heard abour ACT-SO
*
U.S Citizen?
*
Yes
No
Returning Competitor
*
Yes
No
Referred by:
*
Date of Birth
*
Age
*
Gender
*
Male
Female
Grade Level
*
9th
10th
11th
12th
Student's High School
*
East High School, Madison
West High School, Madison
LaFollette High School, Madison
Memorial High School, Madison
Edgewood High School, Madison
Verona Area High School, Verona
Stoughton High School, Stoughton
Sun Prairie High School, Sun Prairie
Middleton High School, Middleton
Waunakee High School, Waunakee
Address
*
Line 1
Line 2
City
State
Zip Code
Country
Other High School if not listed, or Home School
*
______________________________________________
ACT-SO COMPETITION CATEGORIES
Refer to the ACT-SO Category Descriptions and check the category or categories that you will compete in. Contestants may choose no more than three (3) categories. Within the categories shown below, please select your competition category or categories. Vocal music competitors, please indicate as specifically as possible your vocal range (e.g. soprano, contralto, tenor, etc.). Instrumentalists, please indicate your instrument (e.g. drums, piano, saxophone, etc.).
STEM (Science, Technology, Engineering & Math)
*
Not Interested
Architecture
Biology/Microbiology
Chemistry/Biochemistry
Computer Science
Earth and Space Sciences
Engineering
Mathematics
Medicine and Health
Physics
CULINARY ARTS (Not Available in 2021)
*
I'm interested. Contact me if this becomes available in 2021.
HUMANITIES
*
Not Interested
Music Composition
Original Essay
Playwriting
Poetry - Written
Short Story
VISUAL ARTS
*
Not Interested
Drawing
Filmmaking
Painting
Photography
Sculpture
BUSINESS
*
Not Interested
Entrepreneurship
PERFORMING ARTS
*
Not Interested
Dramatics
Oratory
Poetry - Performance
PERFORMING ARTS - DANCE
*
Not Interested
Dance: Ballet
Dance: Contemporary
Dance: Modern
Dance: Traditional
PERFORMING ARTS - MUSIC
*
Not Interested
Music: Instr - Classical
Music: Instr - Contemp
Music: Vocal - Classical
Music: Vocal - Contemp
Music: Vocal Range or Instrument
*
Multiple areas of interest in any category? Enter here.
*
Enter additional areas for multiple selections in any category.
____________________________________________________
PARENT OR GUARDIAN INFORMATION
Parent Information
*
First
Last
Relationship?
*
Parent
Legal Guardian
Other
Parent's Email
*
Home Phone
*
Parent's Cell Phone
*
Comments or Questions?
*
___________________________________________________
THIS SECTION TO BE COMPLETED BY NAACP ACT-SO CHAIRPERSON
ACT-SO Chairperson: Frances Huntley-Cooper
[ ] This person is a gold medal winner and will advance to the National Competition.
Chairperson Signature: _____________________ Date: ___/___/____
_____________________________________________________
Submit
Home
About Us
Officers & Committees
Contact Us
Youth Programming
ACT-SO
>
ACT-SO STUDENT APPLICATION
Youth Council
Advocacy & Issues
George Floyd Response
Black Workers Forum
Political Action/Voting Rights
Legislative Update
Forward Together Wisconsin-Moral Monday Movement
Legal Redress
File a Complaint
Meetings & Events
Membership
Update Member Information