Massachusetts   Lions

Youth Speech Competition

 

 

 

JUDGE’S PROFILE

 

Name: _______________________________________________________________

 

Address: ___________________________________________________________

 

City, State, Zip Code: _________________________________________________

 

Telephone: (Days) ________________________(Nights) ___________________________

 

Employer: _____________________________________________________________

 

Occupation: ___________________________________________________________

 

Professional Accomplishments: ___________________________________________

 

_____________________________________________________________________

 

_____________________________________________________________________

 

Social, Civic, or Fraternal Memberships, including offices held: ___________________

 

_____________________________________________________________________

 

_____________________________________________________________________

 

Hobbies or Special Interests: ______________________________________________

 

_____________________________________________________________________

 

_____________________________________________________________________

 

Personal Data (Marital status, children, etc.): _________________________________________

 

_____________________________________________________________________

 

Other: ________________________________________________________________

 

_____________________________________________________________________

 

Graduated from School(s): ________________________________________________

 

_____________________________________________________________________

 

Please only provide information that you would like to share with the audience. There is no obligation for anything else.