ACTSO Application

UNIT NAME: Garland ACT-SO Garland Texas
3114 Marilee Dr. Garland, Texas 75043
UNIT #6256

***THIS SECTION TO BE COMPLETED BY STUDENT APPLICANT***

Name: *


First	Last

Address: *

Street AddressCityStateZip Code

Date of Birth: *

Student Cell Number: *

-
Area Code	Phone Number

Parent Cell Number: *

Gender: *

US Citizen: *

Yes

No

NAACP Member: *

Yes

No

E-mail Address: *

High School Name: *

Grade: *

High School Address: *

Reference the ACT-SO Category Descriptions and identify the category for which you will create a project, artwork or performance.

Please check the appropriate category(ies). Students may enter up to THREE (3) Categories.

SCIENCES:

HUMANITIES:

PERFORMING ARTS:

VISUAL:

BUSINESS:

Entry Category & Title #1: *

Entry Category & Title #2:

Entry Category & Title #3:

Parent's Name: *

Parent's Cell Number: *

-
Area Code	Phone Number

Student Signature: *

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