8) ApplicationForm2011
Mailing Address:
San Diego Japanese Speech Contest Committee
ATTN: Tachibana Language Center
P. O. Box 28884, San Diego, CA 92198
E-mail to apply: SanDiegoNihongoContest2011@gmail.com
Fax: 858-217-6069
Application form is in the email body that looks exactly like Page 5 & 6. Please use it, put all information necessary and just send it to “San Diego Japanese Speech Contest Committee”
at SanDiegoNihongoContest2011@gmail.com
1) Application Form Accepted by Email ONLY. Due by March 12th, 2011.
All applicants must be recommended by an official representative of a local or regional school or by a Japanese teacher who currently teaches or has recently taught the applicant within the last semester.
This is to be submitted by the instructor of the applicant or the applicant. Please fill out this application form below and email it by the due date: March 12th 11:59 PM, 2011.
……………………………Beginning of Application Form…………………………………
ABOUT THE APPLICANT: (Please give us the name you wish to appear on the certificate.)
First Name:…
Middle Name:…
Family Name:…
Name in Katakana: (First name… Family name.. )
Sex: Male… or Female…
Native Languages:…
Date of birth: Day…Month…Year…
Street Address: …
Apt #:…
City: …
State: …
Phone number: …
(The number that we can reach for clarification when necessary)
Fax number: (if you have any)…
Email address: (please give us the most active one)…
ABOUT YOUR TEACHER/PROFESSOR WHO RECOMMENDED YOU:
First name:…
Family name:…
Name of the organization…
Address of the organization:
STREET …
City: …
State:…
ZIP:…
Phone number: …
Fax number:…
Email address: …
THE COURSES & LEVELS YOU HAVE COMPLETED OR YOU ARE CURRENTLY TAKING:
My current level: …
I have completed: …
TITLE OF THE SPEECH:
Japanese title:…
English title:…
Brief description of your speech in English, so that at the end of your speech the day’s MC can briefly summarize your speech for the English speaking audience:
Previous experience of Speech Contest: When/Where? Did you receive any awards? Please explain:
……………………………....................................................…End of Application Form…………………………………………
Attached: Genkoyoshi (3 pages): Download it and the speech script will be accepted by US Postal mail due March19th, 2011.
Thank you for your help and cooperation to make this event successful! We will start creating the day’s schedule one week prior to the event. Please write to us about any changes by 19th. Thank you!