Application for Fall, 2015 Words That Changed History Day November 5, 2015 LRC-131 Each Finalist will receive a $100.00 VISA Card and a Certificate The application deadline is October 23, 2015 Audition dates are October 27 and 29, 2015 (*Required) *Date of Application:___________________________________ *7-Digit Student ID Number:_____________________________ *Name:______________________________________________ Address:_____________________________________________ *Preferred Phone Number:_______________________________ *Email:______________________________________________ *Speech Selected for Contest: First Choice:__________________________________________ Second Choice:________________________________________ Third Choice:_________________________________________ Submit Completed Application to Dr. Gary Wilson by October 23, 2015, LRC, Suite A, Office #220 or mail to Dr. Wilson at gwilson@com.edu