NAACP Beverly Hills/Hollywood ACT-SO
Upon completion of this form your application will be time-stamped and sent to the ACT-SO committee. Please ensure that all areas are completely filled out before submitting. If you have any questions please call 323.464.7616 or 626.644.2685. Please visit our Branch website at http://beverlyhillshollywoodnaacp.org/what-is-act-so/ for the most updated information.
BHWD NAACP ACT-SO COMPETITION 2019 APPLICATION - Date of Competition:
Unit Name: Beverly Hills/Hollywood Branch Unit#: 1027 THIS SECTION TO BE COMPLETED BY STUDENT APPLICANT
FIRST NAME *
Your answer
LAST NAME *
Your answer
ADDRESS *
Your answer
CITY *
Your answer
STATE *
Your answer
ZIP *
Your answer
DOB: MM/DD/YEAR * *
Your answer
NAACP MEMBER * *
Required
GENDER *
Required
CELL PHONE
Your answer
EMAIL: *
Your answer
U.S. CITIZEN *
Required
SCHOOL NAME *
Your answer
SCHOOL ADDRESS *
Street address, City, State Zip
Your answer
GRADE * *
Your answer
PARENT(S) NAME *
Please give full name/first & Last
Your answer
PARENT (S) PHONE/CELL NUMBER *
Number where you can be reached - Please print clearly
Your answer
EMAIL
Where correspondence can be received - Please print clearly
Your answer
Please select the appropriate categories in which you wish to compete. Students may enter up to THREE (3) categories.
Choose from the list below.
Performing Arts
Sciences
Humanities
Visual Arts
Culinary Arts
Please make sure all questions are answered completely *
Required
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