Contest YearSelect Year202620272028
Name of Sponsoring UnitUnit #
Please complete this section. Print legibly.
First Name *Last Name *
Address *
City *State *AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingZip *
Home PhoneCell Phone
E-mail Address *
Graduating Seniors: Are you planning to attend college?YesNo
D.O.B. *
Returning CompetitorYesNoNAACP MemberYesNo
SexMaleFemaleOtherU.S. CitizenYesNo
High School NameGrade
High School CityHigh School StateAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming
Parent/Guardian(s) Name
Parent/Guardian(s) Cell PhoneParent E-mail Address
Refer to the ACT-SO Category Descriptions and check the category (on) for which you will create a project, artwork, or performance. Contestants may compete in no more than 3 competitions. Students competing in Culinary Arts and Hospitality Management cannot compete in any other category.
STEM
Architecture (01)Biology/Microbiology (02)Chemistry/Biochemistry (03)Computer Science (04)Earth & Space Sciences (05)Engineering (06)Mathematics (07)Medicine & Health (08)Physics (09)
HUMANITIES
Music Composition (10)Original Essay (11)Playwriting (12)Poetry—Written (13)Short Story (14)
BUSINESS
Entrepreneurship (31)Hospitality Management (33)
CULINARY
Culinary Arts (32)
PERFORMING ARTS
Dance: Ballet (15)Dance: Contemporary (16)Dance: Modern (17)Dance: Traditional (18)Dramatics (19)Music: Instr.—Classical (20)Music: Instr.—Contemp. (21)Music: Vocal—Classical (22)Music: Vocal—Contemp. (23)Oratory (24)Poetry—Performance (25)
VISUAL ARTS
Drawing (26)Filmmaking (27)Painting (28)Photography (29)Sculpture (30)
Competition 1 & Instrument/Voice:
Competition 2 & Instrument/Voice:
Competition 3 & Instrument/Voice:
Student Signature *Date *
Parent/Guardian(s) Signature *Date *
ACT-SO Chairperson
This person is a gold medal winner and will advance to the National Competition.
Chairperson SignatureDate
