APPLICATIONS

Please fill out this form as completely and thoroughly as possible. Before submitting the form, double check to make sure all the information you have provided is accurate to the best of your knowledge. Also make sure you have spelled all names, places, etc. correctly to avoid confusion.

Last Name:
First Name:
Middle Initial:
Permanent Home Address:
City:
State:
Zip:
Home Phone Number:
Student Cell Phone Number:
E-Mail Address:
Parent/Guardian Name:
Parent/Guardian Email:
Parent/Guardian Daytime Phone:
Adtl. Parent/Guardian Name:
Adtl. Parent/Guardian Email:
Adtl. Parent/Guardian Daytime Phone:
School Name:
School Address:
School City:
School State:
School Zip:
School Phone:
Coach or Director of Forensics:
Coach's Email:


Grade Level 2010-2011
12 11 10 9 Coach
(next academic year)

Male Female


Partner Request:
Partner Email:
Roommate Request:
Roommate Email:


Applying for the MNDI:
Please check the option you are applying for. You will receive a confirmation letter soon after you apply.

The MNDI

"Returning Student" to the MNDI

The MNDI and Extension Week

"Returning Student" to the MNDI and Extension Week


Applying for the Classic:
Please check the option you are applying for. You will receive a confirmation letter soon after you apply.

The Classic: ($60 Application Fee)

"Returning Student" to the Classic: ($60 Application Fee)

"Early Deposit" to the Classic

"Returning Student" with "Early Deposit" to the Classic

The Classic Plus

"Returning Student" for the Classic Plus

"Early Deposit" to the Classic Plus

"Returning Student" with "Early Deposit" to the Classic Plus


Applying to the 7 Week Program:
Please check the option you are applying for. You will receive a confirmation letter soon after you apply.

The 7 Week Program: ($60 Application Fee)

"Returning Student" to the 7 Week Program: ($60 Application Fee)

"Early Deposit" to the 7 Week Program

"Returning Student" with "Early Deposit" to the 7 Week Program


Previous Debate Workshops Attended
2008:2009:
 
Previous Debate Institute Instructors
2008:2009:


Please indicate your total win/loss record for each of the following years when applicable. Also indicate the division in which most of your debates occured (V=Varsity, JV=Junior Varsity, N=Novice) and whether you debated primarily in Policy or Lincoln-Douglas events.

Years Total Wins Total Losses Division Policy
2009-2010
2008-2009
2007-2008


Please provide a complete tournament-by-tournament preliminary and elimination round record for the 2009-2010 season. Estimate the number of teams or debaters at each tournament in your division. Provide, in this order, the Name of the Tournament, the Division, Number of teams or debaters, Prelim Record, Elim Record, and Speaker award.

1.
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11.
12.
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20.


Students applying to the 7-week program or the Classic must submit a $60 application fee payable to "Michigan Debate." Please submit your payment to Michigan Debate, 2205 Michigan Union, 530 South State St., Ann Arbor, MI, 48109. Please include the name of the student in the memo section of the check or money order. An application is not considered complete until the application fee is paid.

By submitting this application you verify that the information in this application is accurate.

I verify that the above information is accurate.