NYC ACT-SO Student Application

Are you of African-American Descent? (Applicants must be of African-American Descent)

YesNo
Are you a New York resident?

YesNo
Student's Full Name*

First NameLast Name
Age*
Sex

MaleFemale
Home Phone Number

Area CodePhone Number
Cell Phone Number

Area CodePhone Number
E-mail
Address*

Street Address

Street Address Line 2

CityState

Zip Code
High School*
Your grade level*
Parent/Guardian's Full Name

First NameLast Name
Parent/Guardian's Business Phone Number

Area CodePhone Number
How did you learn about ACT-SO?
Fill in how your learned about ACT-SO
Which categories are you interested in? Choose up to three.

You can view the descriptions and guidelines here.
Please choose up to 3 categories of your interest:*
For the categories you selected, please answer the following:
Have you ever performed as a paid professional?

YesNo
Have you ever had any formal training?

YesNo
If yes to either of the above, explain:
Please upload your photo

Browse Files
pdf, jpg, jpeg, png, gif Cancelof
Please upload your biography

Browse Files
pdf, jpg, jpeg, png, gif Cancelof
Previous ACT-SO Participation

It is okay to particpate in ACT-SO multiple years.
Have you ever participated/competed in ACT-SO in previous years?

YesNo
Enter a category, year, and medals won for your previous ACT-SO participation - for each category you have previously participated in.
Student Signature

Clear
Use your mouse or stylus/finger (mobile devices).
Date

MonthDayYear
Should be Empty: