B. 4) Application Form

Guideline https://sites.google.com/site/sdjsc2016/guidelines

Facebook Chat Room for Contestants:

We created a chat room for those who are interested in competing at the speech contest.

It's open to everyone if you qualify to compete. The qualifications are:

You are a resident of San Diego.

You go to a local school.

You are interested in competing at our speech contest.

If you qualify come and join us us at the chat room.

FumikoTachibana will invite you to the room.

Deadline: Applications are due 2/29/2016 (Monday).

Preparation and Procedure:

1. Read the contest guidelines carefully. ✔ https://sites.google.com/site/sdjsc2015/3-rules-and-judging-criteria

2. Copy the following application form (below) in the email body and fill it out. ✔

3. Take a snap shot of your handwritten draft written in Japanese , it does not have to be a final draft,

It will NOT be used for judging but used for application selection. Please attach it in the email.

Do not send a typed draft in Japanese nor a draft written in English! ✔

4. Send Step 2 & Step 3 to sdjsc2016@gmail.com ✔ (the email address changes every year!)

5. Applications will be accepted in the order of application which follows the above instructions. Again the deadline is 2/29/2016.

All applications and inquiries about the 2016 contest must be sent to sdjsc2016@gmail.com.

Applications are accepted by email ONLY in the order of applicants which followed the instructions and procedure.

If you have any questions, do not hesitate to write to us (committee). ✔

--Beginning of Application Form--

ABOUT YOU:

Your name in English

your first name ( ) your last name( )

Spell it in Katakana (this is for the program)

your first name( ) your last name( )

your email address: ________________

Your native language(s): ( )( )

Date of birth: Month…Year…

Are you in high school (check): ( )

If your answer is Yes, please check the following:

Freshman ( )

Sophomore( )

Junior ( )

Senior ( )

Your phone number if we need to reach you (for emergency): ( )

ABOUT THE SCHOOL:

Name of your school:( ) *

* The name of your school won't be presented in the program, but it will be announced at the announcement ceremony.

ABOUT THE PERSON OR TEACHER WHO RECOMMENDED YOU:

Full name: ( )

Name of the organization (school):( )

Address of the organization: ( )

The email address of the teacher:( )

The phone number of the teacher in case of emergency: ( )

TELL US ABOUT YOUR LEVEL:

The courses you have completed: ( ) ( ) ( ) ( )

If you did not take courses, how did you learn Japanese? Let us know.

Did you travel to Japan before?

Did you live in Japan before?

If the answer is yes, how long did you stay in Japan?

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

beginner( ), intermediate( ), advanced( )

ABOUT THE SPEECH:

( We may change the title once the program is finalized. It is when you receive an invitation memo from the SDJSCC. Once it's finalized, it's in the printing process, and you may not change the title. So please be careful. )

Japanese title:( )

English title:( )

Please give us a brief description of your speech in English below.

My speech is about:

___________________________________________________________.

(This is for us to create a PPT file that goes behind you on stage so your description will help

the audience understand your speech. The name of your school won't be displayed.

Previous experience of competing in our speech contest: _____________

If your answer is yes, which year?:________ ________ ________

DISCLAIMERS

Photograph: I understand that the contest committee reserves the right to take photographs

at this event and to use them to promote activities related to Japanese language and culture

education on various media, including but not limited to: websites, newsletters, local newspapers,

and magazines. Filming: I understand that the contest committee reserves the right to film the speeches.

The purpose of the filming is promotion of the contest and it will not be publicized without the permission

of each contestant.

By sending the application, I agreed the above disclaimers.

--End of Application form--