Student'Name:'' ' ' ' ' ' ' ' ' ' ' ' ' '
UIL'Conference'(1-6):'' ' ' 'UIL'District'(1-32):'' ' ' 'Speake r'# :'' ' '
POETRY INTERPRETATION DOCUMENTATION FORM'
Use$this$interactive$form$to$assist$in$the$documentation$check$process$and$in$providing$complete$title/author$
information$to$judges.$Complete,$print$and$give$a$copy$to$your$contest$director$and$each$judge$on$your$panel$at$
district,$region$and$state.!!
!
**Attach!proof!poems!are!published,!printed!material!only!on!the!Contest!Director’s!copy.!
Note:!If!performing!a!program,!one!se lection!may!be!unpublished.!
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Category'A:'This'is'Me'
'
!The!goal!of!this!category!is!to!examine!the!performer’s!ancestry,!origin,!heritage!and/or!dreams!and!
aspirations.!The!contestant!shall!perform:!
• A!single!poem,!excerpts!of!a!poem!or!poems!or!literary!program;!maximum!of!6!may!be!used!
• If!using!multiple!poems,!one!poem!from!an!unpublished!source!is!allowed!
• Majority!of!performance!must!be!published!poetry!
• Song!lyrics!may!be!used!but!only!as!transitions!(unless!published!as!poetry)!
• Co-authored!and!anon ymous!literature!are!allowed!!
!
!
$(list$individual$poem$title,$not$title$of$book)''
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TITLE'' POET'
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TITLE' 'POET' ' ' ' ' ' '
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TITLE'' ' ' ' ' ' ' ' ' POET'
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TITLE'' ' ' ' ' ' ' ' ' POET'
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TITLE' ' ' ' ' ' ' ' ' POET'
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TITLE'' ' ' ' ' ' ' ' ' POET'
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Unpublished'Work'*only'one'is'permissible,'and'only'if'multiple'selections'in'a'
program'are'used'
TITLE'' ' ' ' ' ' ' ' ' POET'
' ' ' ' ' ' ' ' ' ' ' ' ' ' ' '
*Poet(s)!used!in!this!category!shall!not!be!used!in!Category!B.!
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We,!the!coach(es),!and!competitor,!confirm!that!administration!has!been!made!aware!of!student!
performance(s)!and!that!these!performances!reflect(s)!the!moral!standards!of!our!community,!are!not!in!bad!
taste,!and!reflect(s)!our!school!standards!in!terms!of!subject!matter,!language,!and!use!of!gesture.!
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Coach(es)!Signature!! ! ! ! ! ! ! ! ! ! !Date!! ! !
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Contestant!Signature!!! ! ! ! ! ! ! ! ! !Date!! ! !
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