Georgia Highlands College - Speech Competition Entry Form

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Georgia Highlands College

Public Speaking Competition

Registration Form

DEADLINE: MARCH 23^rd

Name:
Email:
Phone:

Primary GHC campus you attend:

Title of Speech (as you want it to appear on the program):

PLEASE PROVIDE AN OUTLINE OF YOUR SPEECH (500 WORDS OR LESS) TO THIS ENTRY FORM:

I have taken or am currently taking COMM1100: Human Communication or COMM 1210: Public Speaking.

Instructor name:

Which of the following types of technology, if any, do you plan to use as a visual aid? NOTE: AUDIO/VISUAL TECHNOLOGY (PowerPoint, DVD, Internet) may NOT be used.

Poster Model/Object Picture/Photograph Other:

Please supply the following biographic information. This may be used by an emcee to introduce you prior to your speech.

Hometown:
Major:
Year in School:
Fun Fact about you:
Any past public speaking honors:

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GHC PUBLIC SPEAKING COMPETITION

VIDEO RECORDING AGREEMENT AND RELEASE

If you win a semi-final round, your speech may be video recorded during the final round. Please indicate your willingness to share your speech.

YES, I agree to allow the recorded version of my speech to be uploaded to the Georgia Highlands College Speech Competition YouTube page. I understand that this means my speech may be shown in future COMM1100 courses at Georgia Highlands College, or at other schools across the country and world, for educational purposes. All comments and other feedback functions and mechanisms will be disabled. You will reserve the right to have your video removed at any time by writing to the GHC Speech Competition chair.

NO, I do not agree to allow the recorded version of my speech to be uploaded to the Georgia Highlands College Speech Competition YouTube page.

Student Name:

GHC ID #:

Date:

Page last updated: January 9, 2012