Concern Debates 2012-2013

CONCERN DEBATES 2012-2013

ADJUDICATOR REGISTRATION FORM

Name: / Ph. Day / work:
Address: / Ph. Evening / home:
Mobile:
Email:

Availability to Adjudicate

No - I am no longer available to adjudicate for the Concern Debates, please remove me from the mailing list

I am unable to adjudicate for the Concern Debates at the moment but I would consider it again in the future

I am no longer available to adjudicate debates but would be interested in finding out about other volunteer opportunities with Concern (such as judging the Writing Competition, volunteering in the office or at events etc.)

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YES - I am available to adjudicate as Chief Adjudicator Assistant Adjudicator

If there are any particular evenings, dates or months that do not suit you to adjudicate, please let us know.

______

I am willing to travel approx. 10 Kms 20 Kms 30 Kms 40 Kms or more

Or, give a list of the areas you would be willing to travel to: (eg. All of Donegal/Sligo, Dublin city centre etc)

______

I am happy to be contacted by Concern using the following methods of communication

telephone mobile phone call SMS text message email

I am happy for Concern to pass my mobile number onto Debates mentors in case of changes to a debate I have agreed to adjudicate

Adjudicator Training

I have adjudicated for Concern Debates for years OR I have not yet adjudicated for the Concern Debates.

Have you previously taken part in training for Concern Debates adjudicators? Yes No

Would you like to participate in adjudicator training when it is available in your area? Yes No

Debates Email Bulletin

During the Debates season from September to May we send a regular email bulletin to adjudicators, teachers and students involved in this year’s competition.

Please add me to the emailing list for the Debates Bulletin Email address: ______

Please return this form by fax to (01) 4754164 by email to or by post to Concern Debates , 52 Camden St., Dublin 2