Speech - COMM 105

Proficiency Test Application

Name: ________________________________________________________________________

Social Security Number: _________________________________________________________

Address: ______________________________________________________________________

Telephone: ____________________________________________________________________

Technology: ___________________________________________________________________

High School(s) Attended: ________________________________________________________

High School, College, Employment-Related, or Life Experience in Speech Presentation Skills:

Name of Course(s) Year(s) Grade(s) Textbook(s) Teacher(s)

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Experience:

Social Organizations: _______________________________________________

Debate Tournament Participation: _____________________________________

Forensic Club:_____________________________________________________

Individual Contests: ________________________________________________

Other Relevant Experience:

Describe any other activities which include substantial speech experiences, such as theater experience, radio and television experience, organizational offices, Toastmasters, etc.

 

 

 

 

 

 

Student´┐Żs Signature Date

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