ACT-SO Judge Intent Form

Academic, Cultural, Technological, and Scientific Olympics

Name Name Title First Last Suffix
Date Date / MM / DD YYYY
Address Address
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Cell Cell - ### - ### ####
Home Phone # Home Phone # - ### - ### ####
Work Phone # Work Phone # - ### - ### ####
Email
Employer/Company
Position
Referred by
College Information

Please enter the colleges you have attended
College (1st level)
Location
Major
Degree Obtained
Other Qualifications
*
College (2nd level)
Location
Major
Degree Obtained
Other Qualifications
*
College (3rd level)
Location
Major
Degree Obtained
Other Qualifications
*
ACT-SO Olympics Competition Categories

Please select the two categories that best fit your area of expertise.
HUMANITIES

HUMANITIES Music Composition Short Story Playwriting Poetry-Written Original Essay
BUSINESS

BUSINESS Entreprenuership Culinary Arts
PERFORMING ARTS

PERFORMING ARTS Dance:Ballet Dance: Contemporary Dance: Modern Dance: Traditional Dramatics Music Instrumental-Classical Music Instrumental-Contemporary Music Vocal-Classical Music Vocal-Comtemporary Poetry-Performance Oratory
STEM

STEM Architechture Biology/Microbiology Chemistry/Bochemistry Earth and Space Sciences Computer Science Mathmatics Engineering Medical and Health Physics
VISUAL ARTS

VISUAL ARTS Drawing Painting Photography Sculpture Filmmaking/Video
Do you currently have a student in the ACT-SO program?

Do you currently have a student in the ACT-SO program? Yes No
If so, what is the student's name?
How did you hear about Bloomington-Normal NAACP ACT-SO?

How did you hear about Bloomington-Normal NAACP ACT-SO? Newspaper Radio Website Social Media ACT-SO Volunteer Student Ambassadore Other Other
Judge Qualifications: Judges should either be professionals working in the field in which they volunteer or have degrees in the field. Please describe any professional experience or educational credentials, not already noted, which relate to the category(ies) you are volunteering to judge.
Maximum of 500 words allowed. Currently Entered: 0 words.

ACT-SO Judge Intent Form

ACT-SO Judge Intent Form

College Information

ACT-SO Olympics Competition Categories