First Name:

Last Name:

Daytime Phone:

Evening Phone:

Street Address:

City/state/zip:

Email Address:

Please let us know of affiliations that link you to History Day. Check all that apply:

Type of organization or affiliation:           College or University Historical Society/ Museum Library/ Archive Educator Other

Your organization's name:

Your role(s):
Faculty

Undergraduate student

Graduate student

Staff

Volunteer

Non-professional history enthusiast

Former History Day participant

Parent, relative, or friend of participant

Previous work judging for CHD?

I have volunteered for History Day before

I have not volunteered for History Day before

If you have judged at CHD before, how many years have you judged?

Please indicate your preferences for judging. What do you prefer to judge?

Documentaries

Exhibits

Papers

Performances

Web Sites

No category preference

Junior Division (grades 6-8)

Senior Division (grades 9-12)

No age preference

Final rounds preference?

I would be willing to judge final rounds

I would not be willing to judge final rounds

Which of the following best describes you:

Parent, relative or friend of a History Day student

History educator

Educator specializing in other subjects

Dedicated history buff (i.e. passion not profession)

Student

Other