TEXAS STATE JAPANESE LANGUAGE SPEECH CONTEST REGISTRATION

Thank you for your interest in competing in the 2019 Texas State Japanese Language Speech Contest.

To register, please complete the form below. As noted in the contest HANDBOOK, registration will not be considered complete until the notarized certification of eligibility is submitted.

The registration portal will CLOSE at 5PM on March 1, 2019.


CERTIFICATES OF ELIGIBILITY

Please click HERE to download the CERTIFICATION OF ELIGIBILITY FORM to be executed by APPLICANT, PARENT and INSTRUCTOR in the presence of a NOTARY PUBLIC.

All certificates are due by March 8, 2019.*

*Students who competed in the Houston Regional Japanese Language Speech Contest have already submitted the necessary forms and will not need to resubmit.


REGISTRATION FORM

APPLICANT PERSONAL INFORMATION
Applicant Name (in English) *
Applicant Name (in English)
Applicant Name (in Japanese) *
Applicant Name (in Japanese)
(Please use katakana or romaji. Ex. ジョン・スミス or Jyon Sumisu)
Applicant Date of Birth *
Applicant Date of Birth
Applicant Phone *
Applicant Phone
Applicant Address *
Applicant Address
APPLICANT SCHOOL INFORMATION
(if applicable)
School Grade *
Please provide your instructor's full name. Should you study independently, please enter N/A.
APPLICANT JAPANESE ABILITY
Do you have a parent that is Japanese? *
Do you have a parent that is a native speaker of Japanese? *
Do you live in a household in which Japanese is spoken more than any other language? *
Please state answer in years and months.
How have you studied Japanese? *
Please check all answers that apply.
Please state all other study methods used.
Have you ever lived in Japan? *
Please state answer in years and months.
Have you ever studied in Japan in a study-abroad program? *
Please state answer in years and months.
Have you ever attended school in Japan or attended a "hoshuko" outside of Japan? *
Please state answer in years and months.
Have you ever participated in a Japanese speech contest? *
Please provide contest name(s), competition year(s) and competition division(s).
Have you placed among the top three in a previous competition held in the last three years? *
Please provide contest name(s), competition year(s) and competition division(s).
APPLICANT COMPETITION CATEGORY
Select the division that you would like to participate in. *
You may only select one division. Please refer to the Handbook to confirm the requirements for each category.
Select the regional contest you competed in: *
Place Awarded *
Please state the title of your speech. Should your competition category not require the creation of original content, please enter N/A.
Please summarize your speech in 100 words or less. Should your competition category not require the creation of original content, please enter N/A.
If you are competing in the haiku division, please submit your original haiku (in Japanese) here.
Please identify the word in your haiku that serves as the "kigo."
CONSENT AND ACKNOWLEDGMENT
In consideration of the right to attend and participate in the 2019 Texas State Japanese Language Speech Contest (Contest), the Applicant/Participant (and, if the Applicant/Participant is a minor, his or her parent) and his or her Japanese language instructor agree to: *
By clicking on the boxes below, the Applicant (and, if the Applicant is a minor, his or her parent) and his or her Japanese language instructor acknowledge agreement.
NOTARIZED CERTIFICATION OF ELIGIBILITY FORM WILL BE SENT *
Please click on link at top of page to download the CERTIFICATION OF ELIGIBILITY FORM. The form is due by March 8, 2019.
PARENT
Parent Name
Parent Name
Please complete if applicant is under the age of 18.
Parent Mobile Phone
Parent Mobile Phone
THIS IS TO CERTIFY THAT I, AS THE PARENT WITH LEGAL RESPONSIBILITY FOR THE APPLICANT, HAVE CAREFULLY READ THE WAIVER AND RELEASE OF LIABILITY, FULLY UNDERSTAND ITS CONTENTS, AND DO CONSENT TO HIS/HER RELEASE AS PROVIDED ABOVE.

If you have trouble submitting this form online, please contact pybrown@jas-hou.org