NAACP
ACT-SO 2009
AFRO-ACADEMIC, CULTURAL, TECHNOLOGICAL SCIENTIFIC OLYMPICS
Come celebrate one of the most recognized competitions to
promote excellence and uphold the talents of African American Youth
Application Deadline: April 4, 2010
Print and return this application to:
• The Omaha Branch NAACP Office, 2221 N. 24th Street
• The Omaha Branch NAACP, PO Box 11-122, Ames Station, Omaha, NE 68111
• NAACP Fax: 933-1232
• Email: OmahaNAACP@aol.com
Student’s Name:
__________________________________________________
Home Address: __________________________________________________
City, State, Zip: __________________________________________________
Home Phone: ______________________ Cell Phone: _________________
Email: __________________________________________________
Parent / Guardian:
__________________________________________________
Category / Interests:
1. ____________________________________________
2. ____________________________________________
3. ____________________________________________
Name of School:
__________________________________________________
Referring Teacher: __________________________________________________
Grade: _____________
Coach (optional): __________________________________________________
Phone: __________________________________________________
For more information, please contact the Omaha Branch NAACP Office:
Phone: 402-345-6227
Email: OmahaNAACP@aol.com
Fax: 402-933-1232
Categories:
Performing Arts:
