2018 Branch Winner Entry Form

Form

Review

Confirmation

2018 Branch Winner Entry Form

Form SUBMISSION Deadline: March 7, 2018

ESU Branches: Please fill out this form to report the winner of your ESU Branch (community) Shakespeare competition.

Note: You will need to include full-text copies of the student's monologue and sonnet with this form. If you have questions, send an email to: shakespeare@esuus.org.

Indicates required field (*)

Submitter Information
Full Name: *
Email : *
ESU Branch : *

Branch Competition Winner Information

Branch Winner's Contact Info. *

Salutation: *
First name: *
Last name: *
Suffix: *
Address line 1: *
Address line 2: *
City: *
State: *
ZIP: *
Home phone: *
Work phone: *
Cell phone: *
Email: *

Please list the selections (both monologue and sonnet) that this student will present at the ESU National Competition in New York City.

Monologue Selection: *

Sonnet Selection: *

Parent/Guardian Information

Parent/Guardian Contact Info. : *

Salutation: *
First name: *
Last name: *
Suffix: *
Address line 1: *
Address line 2: *
City: *
State: *
ZIP: *
Home phone: *
Work phone: *
Cell phone: *
Email: *

School Information

School Name: *

School Address: *

Line 1: *
Line 2: *
City: *
State: *
ZIP: *

School Phone: *

School Type : *

Teacher Information

Teacher's Contact Info. : *

Salutation: *
First name: *
Last name: *
Suffix: *
Address line 1: *
Address line 2: *
City: *
State: *
ZIP: *
Home phone: *
Work phone: *
Cell phone: *
Email: *

Additional Branch Competition Information
Branch Runner-Up: *
Branch Runner-Up School: *
Branch Runner-Up Teacher: *
Branch Runner-Up Teacher Email: *

Branch 3rd Place: *
Branch 3rd Place School: *
Branch 3rd Place Teacher: *
Branch 3rd Place Teacher Email: *
How many students total participated in your branch competition?
Please list the number of students who performed "on stage": *