School:

Mailing Address:

Your E-Mail Address:

Conference of your school:
5A 4A 3A 2A A

Region of your school (UIL Districts 1-8 are Region I; Districts 9-16 are Region II; Districts 17-24 are Region III; Districts 25-32 are Region IV):
I II III IV

I would be interested in serving on the following advisory committee(s) (Check all that apply.)

Prose/Poetry      P/P Coaching Experience Years
Lincoln-Douglas Debate      L-D Coaching Experience Years
Extemporaneous Speaking      I/P Coaching Experience Years
CX Debate Topic Selection      CX Coaching Experience Years
Regional Speech Advisory      Speech Coaching Experience Years
General UIL Academic Committee      Coordinator Experience Years

I would like more information about the following committees:

I recommend the following coach for the following committee:

Coach's Name and School:

Committee:

Questions or comments:

SEND OR CLEAR: