Registration

If you are interested in participating in ACT-SO (Afro-Academic, Cultural, Technological and Scientific Olympics), please complete this online form. All information is kept confidential by Community Development Office, College of DuPage and will be used for program planning and to inform students and parents of information sessions.



Today's Date

STUDENT INFORMATION

Last Name

First Name

Middle Name

Address
Apt#

City State Zip

Home Phone E-Mail

Gender: Male Female

U.S. Citizen: Yes No

Date of Birth Age

High School Name Grade

High School Address   

City State Zip

AREAS OF INTEREST:
Please check category (ies) of interest.
Contestants may enter up to THREE (3) categories.

Business
Entrepeneurship

Humanities
Music Composition
Original Essay
Playwriting
Poetry

Sciences
Biology/Microbiology
Chemistry/Biochemistry
Computer Science


Mathematics
Physics
Medical and Health

Performing Arts
Dance
Dramatics
Music: Instrumental/Classical
Music: Instrumental/Contemporary
Music: Vocal/Classical
Music: Vocall/Contemporary
Oratory

Visual Arts
Architecture
Drawing
Filmmaking/Video
Painting
Photography
Sculpture



PARENT OR GUARDIAN INFORMATION

Name

Address

City State Zip

Phone Work Phone

E-Mail


 

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