Miami University

Application for Admission

Please fill out this form as completely and thoroughly as possible. Before submitting the form, double check to make sure all the information you have provided is accurate to the best of your knowledge. Also make sure you have spelled all names, places, etc. correctly to avoid confusion.

Last Name:

First Name:

Middle Initial:

Permanent Home Address:

City:

State:

Zip:

Home Phone Number:

Mobile Number:

Email Address:

Parent/Guardian Name:

Parent/Guardian Email:

Daytime Phone Number:

Mobile Number:

Parent/GuardianName:

Parent/Guardian Email:

Daytime Phone Number:

Mobile Number:

School Name:

This is a UDL School:

Yes No

School Address:

City:

State:

Zip:

Coach or Director of Forensics:

Coach's Email:

Coach's Phone:

School Phone:

Grade Level 2008-2009
12 11 10 9 Coach
(next academic year)

Male Female


Partner Request

Roommate Request


Applying for the Red Hawk (3-week):

Applying for the Miami Scholars (5-week):

Applying for the Miami Speech Institute (2-week):


(2006) (2007)
Previous Debate Workshops Attended

(2006) (2007)
Previous DebateDebate/Speech Institute Instructors

Please indicate your total win/loss record for each of the following years when applicable. Also indicate the division in which most of your debates occured (V=Varsity, JV=Junior Varsity, N=Novice) and whether you debated primarily in Policy or Lincoln-Douglas events. (Speech Institute applicants skip this section)

Years

Total Wins

Total Losses

Division

Policy

2007-2008

2006-2007

2005-2006


Please provide a complete tournament-by-tournament preliminary and elimination round record for the 2007-2008 season. Estimate the number of teams or debaters or competitors at each tournament in your division. Provide, in this order, the Name of the Tournament, the Division, Number of teams or debaters, Prelim Record, Elim Record, and Speaker award. For Speech Institute applicants list tournaments and the event(s) you competed in at each tournament and breaks/ranks.

1.

2.

3.

4.

5.

6.

7.

8.

9.

10.

11.

12.

I am in need of financial assistance and can demonstrate this need: Yes No

I prefer to receive admissions information via email or the U.S. mail.

By submitting this application you verify that the information in this application is accurate.

I verify that the above information is accurate

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