SpeakUp! 2008

This is the application for SpeakUp! 2008. Please complete the application and click the 'Apply' button below.

Personal information
First name
Last name
Cell phone
Other phone
Home address
email address
What is the best way to contact you?
Shirt size
School information
Faculty
Year of school
Address (while at school)
City of school
Emergency contact

Please provide the name, address and phone number of someone to be contacted in the event of an emergency during the time you are at SpeakUp!

Name
Address
Phone
SpeakUp! 2008

Please rank each week in order of your preference. Mark the most desired week as '1' and the least desired week as '2'.

1 2
July 13-18
July 20-25
Were you at SpeakUp! last year? Yes No
Are you, or will you be a university student as of the Fall 2008 semester? Yes No
Do you speak a minimum level of English? Yes No
Do you agree to attend all SpeakUp! activities if accepted? Yes No
Do you understand that the topics and ideas discussed at SpeakUp! will be from a Christian perspective? Yes No
Have you read and do you agree to abide by the SpeakUp! guidelines and policies? Yes No
Essay

Please write a brief essay telling us why you want to attend SpeakUp!.

(1000 character limit)

Other comments

Is there anything else that you want us to know?

(1000 character limit)