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2021 Maine Regional POL Registration Form
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* Indicates required question
Email
*
Your email
Student Information
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Please check one.
School winner
School runner-up
Student's First Name
*
Your answer
Student's Last Name
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Your answer
Student pronouns (information provided is used to properly address student in introductions during competitions, written mentions, etc)
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They/Them/Their
She/Her/Hers
He/Him/His
Other:
Student Name Pronunciation Notes (any pronunciation notes provided will be shared with program judges, Emcees, MAC staff, etc for accurate introductions)
Your answer
Student Age
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Your answer
Student Grade
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9
10
11
12
Student Street Address
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Your answer
Student City
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Your answer
Student Zip
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Your answer
Student Email Address
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Your answer
Student Phone Number
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Your answer
Student's Parent/Guardian Name(s)
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Please provide your parent or guardian's first and last name(s). You may list more than one.
Your answer
Student's Parent/Guardian Phone Number(s)
*
Your answer
Student's Parent/Guardian Email Address(es)
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If there is no email address available, please enter NA.
Your answer
Student's School
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Your answer
Student's School District
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Your answer
Contact Teacher
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Please provide your contact teacher's first and last name.
Your answer
Contact Teacher Email Address
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Your answer
Contact Teacher Phone Number
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Your answer
At the regional, state and national finals, students must have three poems prepared to recite. One poem must be 25 lines or fewer and one must be written before the 20th century. The same poem may be used to meet both criteria and may be the student’s third poem. Please list the Names of Poems and Poets in order of recitation for the Regional Competition. (These cannot be changed before the regional or state finals.) Please provide precise information as it appears in the POL online anthology at
http://www.poetryoutloud.org/poems-and-performance/find-poems
.
*
I have visited the
www.poetryoutloud.org
to provide precise information for each poem.
The poems below are listed in order of recitation for the Regional Competition.
Required
Name of Poem 1
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Your answer
Name of Poet (poem 1)
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Your answer
Type of Poem (poem 1)
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25 lines or fewer?
Pre-20th c.?
Other
Required
Name of Poem 2
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Your answer
Name of Poet (poem 2)
*
Your answer
Type of Poem (poem 2)
*
25 lines or fewer?
Pre-20th c.?
Other
Required
Name of Poem 3
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Your answer
Name of Poet (poem 3)
*
Your answer
Type of Poem (poem 3)
*
25 lines or fewer?
Pre-20th c.?
Other
Required
Student's Favorite Academic Subjects
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Your answer
Student’s Interests and Aspirations
*
Your answer
Student’s Additional Biographical Comments
Your answer
Please comment on your experience with the Poetry Out Loud program. Your comments could be feedback, a story about the school-wide competition or the experience of memorizing poetry, or recommendations for making next year’s POL program better.
Your answer
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