Entry Form

Postmark Deadline: June 12, 2006

Please complete all items on this form and return via mail. All entries must be by mail; no faxed or e-mailed entries will be accepted.

Be sure to include five copies of the speech (transcript or audio or video tape). Refer to guidelines to ensure that you are meeting all requirements.

Download this entry form as a Word document.

1. Contact Information:

A. Please identify the speaker:

Name:
Title:
Organization:
Address:
City:
State:
Zip Code:
Phone Number:
Fax Number:
E-Mail Address:
Website Address:

B. If different from above, please indicate below the individual who is your contact for awards notification and further communications:

Name:
Title:
Organization:
Address:
City:
State:
Zip Code:
Phone Number:
Fax Number:
E-Mail Address:
Website Address:

2. Speech Information

A. Title of Speech:

B. Public Impact: (time of delivery, location, size and composition of immediate audience at which speech was delivered; additional public impact through media coverage)

C. Supporting Materials: You may include up to 10 pages and two tapes of additional material to help us evaluate the speech. Include materials that express the speech's impact on the public. Examples are articles showing media coverage, letters from the public, and background information on forum, sponsoring organizations, etc., as well as audio or video tapes of broadcasts in which the speech is noted. Please submit written materials on 8 1/2" x 11" sheets.

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The postmark deadline for entries is June 12, 2006.All entries should be mailed to the following address:

Judge Edward R. Finch Law Day 2006 Speech Awards
American Bar Association
Division for Public Education 
Mail Stop 20.2
321 N. Clark St.
Chicago, IL 60610

For information, call: 312/988-5735

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By my signature below, I certify that, to the best of my knowledge, the information included in the accompanying materials accurately and truthfully represents data about where the speech was delivered, its impact, and outreach. I further certify that the speech represents my original work and has never been delivered in this form before. I grant the ABA's Division for Public Education the non-exclusive right to use, reproduce, or disseminate by any communications medium my speech, or portions thereof, to publicize and promote its nationwide education programs.

Signature of Speech's Author:	___________________________
Title:	___________________________
Date:	___________________________

 

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