6 Application Form

prepared 12/2313 edited 3/1/14

Application Due 3/3 (Monday) (postponed one week.)

Send the followings, all typed, in the email body to: SDJSC2014@gmail.com.

Application Form is accepted by email ONLY.

What you have to send

1. Application form (see 6.Application Form below)

Information about you, about your speech, etc.

2. Type-written speech script in Japanese. (You can revise it later till you make a speech.)

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…Beginning of Application Form. Please cut this and paste it in your email body, and send it. ..

ABOUT YOU:

First name:

Middle name:

Family name:

Name in Katakana: First name Last name

Name of your school:

Native languages:

Date of birth: Month…Year… Age:…..

if you are in high school(check): Freshman( ), Sophomore( ), Junior( ), Senior( )

Name of School (high school/College/University) :

Email address:

Phone number:

(The number that we can reach for clarification if necessary)

ABOUT YOUR TEACHER WHO RECOMMENDED YOU:

First name:

Family name:

Name of the organization

Address of the organization:

Phone number we can reach in case of emergency :

Email address:

Tell us about your level:

The courses you have completed:________

If you did not take any formal Japanese education, how did you study Japanese?

Please explain.

To the best of your knowledge your level is:(check one)

beginner( ), intermediate( ), advanced( )

About the Speech

Speech takes about 4 minutes or less: I understand ( ✔ )

(Note: We would love to hear your story, short speech of about a couple of minutes is also much appreciated.)

Japanese title: English title:

A brief description of your speech in English！

(当方の資料作りの準備作成のために応募時に必ずお送りください。）

Previous experience of competing in the speech contest:

----------------End of the Application form---------------------------------

San Diego Japanese Speech Contest Committee

ATTN: Tachibana

P. O. Box 28884, San Diego, CA 92198

Fax: 858-217-6069

E-mail for 2014 application: SDJSC2014@gmail.com

Other inquiries: SDJSCC@gmail.com