2021 Wording Committee Form | National Speech & Debate Association

Your Name*

First Last

Email Address*

Cell Phone Number*

School Name (as listed on NSDA site)*

State*

NSDA District*

Which committee were you invited to join?*

In which role were you invited to serve?*

To thank you for your services, each committee member will receive $100 as an honorarium.*

To thank you for your services, each committee chair will receive $250 as an honorarium.*

Name to address check to.

For tax reasons, this check must be made out to the person providing the services.

First Last

Mailing address for us to send the check

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Demographic Info

Demographic info will be used to provide an overall baseline of representation to allow the NSDA to best target its recruitment process. This info will NOT be public. If you prefer not to answer a question, simply leave it blank. Thank you!

Age

I would identify my ethnicity as:

I would identify my gender as:

Would you identify as a part of the LGBT+ community?

Yes
No
Prefer not to answer

Would you identify as a person with a disability?

Yes
No
Prefer not to answer