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USWT WPD Competition Stat Sheet
Wellness and Personal Development is designed to help each individual advance in personal growth, careers, and citizenship. This form is used to sign up for an Effective Speaking, Effective Writing, or other competitions.
Responses to the online form will be viewed by the USWT Wellness and Personal Development Program Manager, and your state contact. Fill in as much information as you know. Upon completion of the form, click Submit; you will receive a confirmation screen if your form has been successfully submitted. (rev 2020)
Your Email
*
State
*
Please select
Arizona
Illinois
Iowa
Massachusetts
Minnesota
Missouri
Nebraska
New Jersey
North Dakota
Oklahoma
Pennsylvania
South Dakota
Wisconsin
Cyprus
Other
Other State
If you are a member of a state organization not listed, please enter your state.
Chapter
*
Submitter Name
*
First
Last
Phone
###
-
###
-
####
Address
Street Address
City
State / Province / Region
Postal / Zip Code
Date Submitted
*
MM
/
DD
/
YYYY
Competition Type
Please select
Effective Speaking
Effective Writing
Other
Other Explanation
*
If you chose "other" in the Competition Type, please explain
Entry Fee Sent
*
Yes
No
Did you send your $5.00 entry fee to the USWT WPD Program Manager?
Topic
*
Enter the topic as set by USWT WPD Program Manager
Title
*
Enter the Name of your speech or essay
