<p> Application Form for The CLASS-UMass Boston Tenth “Chinese Bridge” US High School Student Chinese Speech Contest Registration due date: March 1st, 2015 Contest date and location: April 11th, 2015 UMass Boston, MA campus</p><p>Applicant Information (Please Print ) Last Name First Name</p><p>Photo Gender Male Female Date of Birth Year Month Day Birthplace Country Home Address E-Mail Address Home Phone Number First Language I have studied Chinese for a total of ____years since _____ Elementary______M/Jr. High ____ High School _____ Heritage School ____ Grade Grade Grade Grade I have spent _____ days, or ______months, or ______years in China.</p><p>Title of My Speech Will you do performance? (Optional)</p><p>Signature of Applicant Date Signature of Parent or Guardians Date School Information (Please Print ) School Name School Address Chinese Teacher’s Name Chinese Teacher’s E-Mail Phone Number Fax Number</p><p>*Note: Incomplete applications will not be processed. No application will be accepted postmarked after March 1st, 2015. If you have any questions, please email [email protected] and [email protected] or call at 617-287-7291.</p>