MSHSL Speech Judge Registration
If you do not find your name on the list of Registered Speech Judges and you would like to register for the 2020-2021 school year or change your contact information, please fill out this form.
First Name *
Last Name *
Home Address *
Home PO Box
City *
State *
Zip *
Enter 5-digit zip
Home Phone
Enter as xxx-xxx-xxxx
Work Phone
Enter as xxx-xxx-xxxx
Years of Teaching *
Enter whole number
Years of Judging *
Enter whole number
Areas of Competency
Designate your major areas of competency with a “1” and areas of limited training, experience and preference with a “2”. For those areas you prefer not to judge, check N/A. CE - Creative Expression | DI - Duo Interpretation | DIS - Discussion | ER - Extemporaneous Reading | ES - Extemporaneous Speaking GS - Great Speeches | HI - Humorous Interpretation | IS - Informative Speaking | OO - Original Oratory | SDR - Serious Drama Interpretation | SPO - Serious Poetry Interpretation | SPR - Serious Prose Interpretation | ST - Storytelling
Judge Type *
Check whether you are a 1. New-Brand new judge registering or 2. Previous-Previously registered judge updating their contact information.
Conviction Status
Place your initials in one of the two questions below as it pertains to you. This information will not be made public.
I HAVE NOT been convicted or adjudicated of an offense involving a minor or sexual offense, an offense involving any illegal/illicit drugs, and I am not currently serving a sentence or probation/parole period for any offense. Type your initials in the box below:
I HAVE been convicted, or adjudicated with a finding of fault, guilt, or violation, in regard to an offense involving a minor or any sexual offense, an offense involving any illegal/illicit drug or controlled substance; or I am currently serving a sentence or a parole/probation period for any offense or adjudication of guilt imposed by any court, judge or administrative body. (You must explain in full detail and attach letter to form. Include nature and date of conviction, dates and time served probation/parole requirements, and dates of probation/parole). Type your initials in the box below:
Acknowledgment: *
The judge acts as an independent contractor when entering into an agreement with an MSHSL member school. The contractor agrees that failure to provide workers' compensation insurance for himself/herself, spouse, parents, or children constitutes a rejection of workers' compensation benefits for those individuals. NOTE: Knowingly providing false, incomplete, or inaccurate information on this registration form or any other report to the MSHSL will result in immediate suspension. I herewith make an application for registration as a speech judge of the Minnesota State High School League in the area(s) indicated above. My name entered below verifies that all information on this registration form is accurate to the best of my knowledge.
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy