Application for the UMKC SDI Advanced Scholars Lab
Mail with
$50.00
NON-REFUNDABLE
APPLICATION FEE to:
UMKC Summer Debate Institute
202 Haag Hall
5100 Rockhill Road
Kansas City, MO 64110-2499
Phone: (816) 235-1667
Fax (816) 235-5539
Applicant’s Personal Information
Name ________________________________________________________ Age__________
___
Male ___ Female| Mailing_Address | ______________________________________ |
| (Area Code) Phone Number | _____________________________________________________________ |
| Email Address | ______________________________________ |
| Social Security Number | ______________________________________ |
| Date of Birth | ______________________________________ |
| Last Grade Completed | ______________________________________ |
| School Name | ______________________________________ |
| School Address | ______________________________________ |
| Coach's Name | ______________________________________ |
| Coach's Phone Number | ______________________________________ |
| Parent/Guardian Information | |
| Parent/Guardian Names | ______________________________________ |
| (Area Code) Day Phone # | ______________________________________ |
| Evening Phone # | ____________________________________________________ |
| Emergency Contact # | _______________________________________ |
Usual Debate Speaker Positions
Competition Level in 2000-2001 (Open, Novice, Champ, etc.)
Years of Experience
Goals for Institute
Requested Partner
Requested Roommate
Tournaments Attended This Year (and Record):
Speaker Awards:
Please Give a Brief Explanation of the Following Concepts - Counterplans, Topicality, PIC’s, Conditionality, Disadvantages, Uniqueness, Critiques, and Impact Turns.
If you complete
this form on-line
or by fax, the
application process
is not complete
until a check has
been received.