Toastmasters International

Speaker's Certification of

Eligibility and Originality

Club No	District
ELIGIBILITY
I certify that I am eligible to compete, under the current Toastmasters International speech contest rules. I have been an active club member in good standing since the previous July 1, and have completed six or more projects in the Communication and Leadership manual (Note: These requirements are waived only for a charter member of a club chartered since July 1).[1]
SIGNATURE	PRINTED NAME

ORIGINALITY
Speech Title
Competition	Club	Area	Division	District	Int'l
Date of presentation
In compliance with current Toastmasters International contest rules, I certify that I alone prepared my speech and that it is substantially original. Further, I understand that protest will be limited to judges and contestants, and that any protest must be lodged with the chief judge and/or contest chairman prior to the announcement of the winners. The contest chairman shall notify the contestant or a disqualification regarding originality prior to that announcement before the meeting at which the contest took place is adjourned.
SIGNATURE			PRINTED NAME

Note: This form is to be completed by each contestant and submitted before the contest to the chief Judge at each level of competition.

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[1] The following are ineligible to compete in any contest: incumbent international officers and directors, district officers (governor, any lieutenant governor, area governor, secretary or treasurer) whose term expire June 30; international officer and director candidates; immediate past district governors; district officers or announced candidates for the term beginning the upcoming July 1; past first place winners of the International Speech Contest.